Individual provider Active NPI

Hildanes Soto

  • Psychologist
  • Arecibo, PR
National Provider Identifier
1154743854
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5600 Issued in PR
Practice address
Calle Ventura Gandarilla 212
Comunidad Buenos Aires,
Arecibo, PR 00612
Phone
(787) 650-3711
NPI assigned
Jan 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5600 PR Primary

Addresses

Primary practice location

Calle Ventura Gandarilla 212
Comunidad Buenos Aires,
Arecibo, PR 00612

Mailing address

HC 3 Box 13658
Utuado, PR 00641-6547
Phone (787) 450-5075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230210000986 PR Practitioner - Clinical Psychologist 8022480466 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5600PRMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mentecreativa Bienestar Cuerpo-Mente Inc. Psychologist CurrentSince Sep 16, 2022 Accepting new patients

Locations

212 Calle Ventura Gandarilla
Arecibo, PR 00612
Phone (787) 450-5075

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1154743854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 13658",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006416547",
            "telephone_number": "787-450-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE VENTURA GANDARILLA 212",
            "address_2": "COMUNIDAD BUENOS AIRES,",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-650-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "HILDANES",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "5600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.