Active NPI
Maritza E Grajales-Soto, M.T.
- Laboratory Management Specialist/Technologist
- Carolina, PR
National Provider Identifier
1972647030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Laboratory Management Specialist/Technologist
- License
- 1759
- Practice address
- 33 # 17, Ave. Roberto Clemente
Villa Carolina
Carolina, PR 00985 - Phone
- (787) 769-8349
- Fax
- (787) 254-8490
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Laboratory Management Specialist/Technologist | 246QL0900X | 1759 | PR | Primary |
Addresses
Primary practice location
33 # 17, Ave. Roberto Clemente
Villa Carolina
Carolina, PR 00985
Mailing address
1206 Ave Magdalena
San Juan, PR 00907-1728
Phone (787) 667-1902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1759 | PR | MD | Laboratory Management Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972647030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 AVE MAGDALENA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009071728",
"telephone_number": "787-667-1902",
"fax_number": "787-257-8490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 # 17, AVE. ROBERTO CLEMENTE",
"address_2": "VILLA CAROLINA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "787-769-8349",
"fax_number": "787-254-8490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAJALES-SOTO",
"first_name": "MARITZA",
"middle_name": "E",
"credential": "M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246QL0900X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Laboratory Management",
"state": "PR",
"license": "1759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.