Organization Active NPI

Clinica de Servicios Psicologicos Serenidad LLC

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1194519520
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CLINICA DE SERVICIOS PSICOLOGICOS SERENIDAD LLC
Practice address
22 Calle Sol Ste 101
Ponce, PR 00730-3820
Phone
(787) 974-3773
NPI assigned
Apr 9, 2025
Last updated
Apr 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Paulette T Soto Martinez, PSYDNPI 1720690969
Title
Administrator
Phone
(787) 974-3773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

22 Calle Sol Ste 101
Ponce, PR 00730-3820

Mailing address

2429 Calle Turin
Ponce, PR 00716-2221
Phone (787) 974-3773

National Provider Directory

National Provider Directory

Locations

22 Calle Sol
Ste 101
Ponce, PR 00730
Phone (787) 955-0779

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1194519520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 CALLE TURIN",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162221",
            "telephone_number": "787-974-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CALLE SOL STE 101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303820",
            "telephone_number": "787-974-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE SERVICIOS PSICOLOGICOS SERENIDAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "SOTO MARTINEZ",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-974-3773",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.