Individual provider Active NPI

Carol Jinan Costas Soto

  • Counseling Psychologist
  • Las Piedras, PR
National Provider Identifier
1114881901
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
8691 Issued in PR
Practice address
45 Av. Jesus Toribio Pinero
Las Piedras, PR 00771
Phone
(787) 347-3673
NPI assigned
Dec 15, 2025
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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 8691 PR Primary

Addresses

Primary practice location

45 Av. Jesus Toribio Pinero
Las Piedras, PR 00771

Mailing address

Urb. la Riviera Calle 4 D14
Arroyo, PR 00714
Phone (787) 347-3673

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

State licenses

LicenseStateTypeSpecialty
8691PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1114881901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. LA RIVIERA CALLE 4 D14",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "00714",
            "telephone_number": "787-347-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 AV. JESUS TORIBIO PINERO",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771",
            "telephone_number": "787-347-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTAS SOTO",
        "first_name": "CAROL",
        "middle_name": "JINAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "8691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.