Maritza E Grajales Soto

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

266 Issued in PR

Legal business name

MARITZA E GRAJALES SOTO

Practice address

Ave Roberto Clemente Calle 11 Bloque 33 # 17
Urb Villa Carolina
Carolina, PR 00985-5436

Phone

(787) 769-8349

Fax

(787) 257-8490

NPI assigned

Jan 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Maritza E Grajales Soto, BSMTASCP

Title

Owner

Phone

(787) 667-1902

Specialties & licenses 1

Addresses

Other identifiers 19

Other names 1

• LAB CLINICO LA MILAGROSA Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1891766507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3386",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009843386",
            "telephone_number": "787-769-8349",
            "fax_number": "787-257-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE ROBERTO CLEMENTE CALLE 11 BLOQUE 33 # 17",
            "address_2": "URB VILLA CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009855436",
            "telephone_number": "787-769-8349",
            "fax_number": "787-257-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARITZA E GRAJALES SOTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "GRAJALES SOTO",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-667-1902",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSMTASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OPTIMO",
            "identifier": "30387",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS & SSS OPTIMO",
            "identifier": "30387CL",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA & CIGNA EXCLUSIVE",
            "identifier": "ITIN",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "40D0658056",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PLUS MEDICARE ADVAN",
            "identifier": "ITIN",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "50370",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "6300078",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAPFRE & MAPFRE MEDICARE",
            "identifier": "ITIN",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFFERED MEDICARE CHOICE",
            "identifier": "20425",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL- I.M.C.",
            "identifier": "8392",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS REFORMA",
            "identifier": "ITIN",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COSVI",
            "identifier": "ITIN",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GLOBAL HEALTH",
            "identifier": "011266",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTI- PREFFERED HEALTH",
            "identifier": "400643",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS & MCS CLASSICARE",
            "identifier": "ITIN",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC- PANAMERICAN LIFE",
            "identifier": "LA0066",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "1049",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS-MMM",
            "identifier": "800210",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTION HEALTHCARE",
            "identifier": "ITIN",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAB CLINICO LA MILAGROSA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paula Noelis Marin-Acevedo
• Edison Marin, O.D.
• Ingrid C Marin, PSY.D
• Janitza Marin, MSW
• Maria Pilar Marin
• Marn Prosthetic Laboratory Medical Center Inc
• Ismael Marquez Ramos
• Darwin Marrero Arroyo, M.D.
• Eileen Marrero, O.D.
• Gloria E Marrero

• Clinical Medical Laboratory in Carolina, PR
• Providers in Carolina, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.