Active NPI
Norma Iris Gomez Soto, PSY, D.
- Clinical Psychologist
- Arecibo, PR
National Provider Identifier
1003068669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3108
- Practice address
- Calle Jose C. Balbosa 418
Arecibo, PR 00612 - Phone
- (787) 879-1962
- NPI assigned
- Oct 15, 2008
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3108 | PR | Primary |
Addresses
Primary practice location
Calle Jose C. Balbosa 418
Arecibo, PR 00612
Mailing address
PO Box 433
Arecibo, PR 00613-0433
Phone (787) 879-1962
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3108 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503532800000",
"number": "1003068669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 433",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006130433",
"telephone_number": "787-879-1962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE JOSE C. BALBOSA 418",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-879-1962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ SOTO",
"first_name": "NORMA",
"middle_name": "IRIS",
"name_prefix": "Dr.",
"credential": "PSY, D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-15",
"last_updated": "2017-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "3108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.