Individual provider Active NPI

Jessica Soto Santos, PH D

  • Clinical Psychologist
  • Yauco, PR
National Provider Identifier
1265665863
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2305 Issued in PR
Practice address
42 Calle Pacheco
Yauco, PR 00698
Phone
(939) 644-2773
NPI assigned
Aug 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 13133 PR
Psychologist 103T00000X 2305 PR
Clinical Psychologist 103TC0700X 2305 PR Primary

Addresses

Primary practice location

42 Calle Pacheco
Yauco, PR 00698

Mailing address

PO Box 561020
Guayanilla, PR 00656-3020
Phone (939) 644-2773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2305PRMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1251504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1265665863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561020",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006563020",
            "telephone_number": "939-644-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 CALLE PACHECO",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "939-644-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO SANTOS",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "PH D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-29",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PR",
            "license": "13133",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "2305",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

Verify at the official NPI Registry.