Ismarie Soto Infante, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6917 Issued in PR

Practice address

527 Calle Sergio Cuevas Bustamante
San Juan, PR 00918-2677

Phone

(787) 204-6886

NPI assigned

Apr 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Ponce School of Medicine, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Neurodiversamente LLC

  • Clinical Psychologist
  • San Juan, PR
  • NPI 1619862521
  Medicare reassignment NPD Authorized official
• Centro Ponceno de Autismo

  dba Corporacion para el desarrollo del Centro Ponceno de Autismo

  • Pediatric Neurodevelopmental Disabilities Physician
  • Ponce, PR
  • NPI 1891091047
  NPD (past)
• Salud Vida & Bienestar LLC

  • Clinical Psychologist
  • San Juan, PR
  • NPI 1831085943
  NPD (past)

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1184204315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CALLE SOL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304881",
            "telephone_number": "787-284-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 CALLE SERGIO CUEVAS BUSTAMANTE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182677",
            "telephone_number": "787-204-6886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Calle Sol",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007304881",
            "country_code": "US",
            "telephone_number": "787-284-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTO INFANTE",
        "first_name": "ISMARIE",
        "name_prefix": "Mrs.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enemias E Soto Cruz Sr., BSN
• Jesus Soto Espinosa, P.H.D.
• Ivonnelly Soto Feliciano
• Stephanie Soto Feliciano
• Coralys Soto Hernandez
• Mariangelys Soto Lorenzo
• Pablo Soto Martin
• Valeria Desiree Soto Martinez
• Soraya Soto Mercado, PSYD
• Alexandra Marie Soto Millan

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.