Provider Demographics
NPI:1144390063
Name:MAYMI SOTO, MARIA A (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:A
Last Name:MAYMI SOTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:URBANIZACION PASEO LOS CORALES
Mailing Address - Street 2:585 CALLE MAR CARIBE
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646
Mailing Address - Country:US
Mailing Address - Phone:787-599-1010
Mailing Address - Fax:787-278-3200
Practice Address - Street 1:GALERIA DE ARTES Y CIENCIAS
Practice Address - Street 2:SUITE 103 CARR. 693 KM 8.2
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:787-599-1010
Practice Address - Fax:787-278-3200
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2009-12-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR14872207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0023302Medicare PIN
PRI41948Medicare UPIN