Individual provider Active NPI

Jessica Soto Roman, BA

  • Social Worker
  • Ponce, PR
National Provider Identifier
1215409651
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
24042 Issued in PR
Practice address
2015 Blvd Luis a Ferre Ste 101
Ponce, PR 00717-0798
Phone
(787) 842-8945
NPI assigned
Dec 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 24042 PR Primary

Addresses

Primary practice location

2015 Blvd Luis a Ferre Ste 101
Ponce, PR 00717-0798

Mailing address

2015 Blvd Luis a Ferre Ste 101
Ponce, PR 00717-0798
Phone (787) 842-8945

Other names 1

  • Ms. Jessica Soto Roman Other name

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
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
24042PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Policlinica Las Americas Medical Center, Inc. PastSince Mar 9, 2020 Accepting new patients
Policlinica Las Americas Medical Center Inc PastSince Mar 9, 2020 Accepting new patients

Organizations & group practices 2

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": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1215409651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 BLVD LUIS A FERRE STE 101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170798",
            "telephone_number": "787-842-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 BLVD LUIS A FERRE STE 101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170798",
            "telephone_number": "787-842-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO ROMAN",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "24042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SOTO ROMAN",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 30, 2024; 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.