Individual provider Active NPI

Eddie A Soltren Roldan, MA

  • Counseling Psychologist
  • Gurabo, PR
National Provider Identifier
1043986375
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
7081 Issued in PR
Practice address
Carr 189
Barrio Rincon KM 3.1
Gurabo, PR 00778-3000
Phone
(787) 463-6203
NPI assigned
Aug 17, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 7081 PR Primary

Addresses

Primary practice location

Carr 189
Barrio Rincon KM 3.1
Gurabo, PR 00778-3000

Mailing address

HC 60 Box 41406
San Lorenzo, PR 00754-9015
Phone (787) 463-6203

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7081PRMDDermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1043986375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 60 BOX 41406",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007549015",
            "telephone_number": "787-463-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 189",
            "address_2": "BARRIO RINCON KM 3.1",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007783000",
            "telephone_number": "787-463-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLTREN ROLDAN",
        "first_name": "EDDIE",
        "middle_name": "A",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "7081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.