Marlin Soto Valentin, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6297 Issued in PR

Practice address

67 Calle Pavia Fernandez
San Sebastian, PR 00685-2207

Phone

(787) 920-1310

NPI assigned

Jun 21, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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

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.

• Centro de Balance Emocional LLC

  • Psychologist
  • San Sebastian, PR
  • NPI 1790242337
  Medicare reassignment NPD

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1497599732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 21265",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006859219",
            "telephone_number": "787-920-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CALLE PAVIA FERNANDEZ",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852207",
            "telephone_number": "787-920-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO VALENTIN",
        "first_name": "MARLIN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "6297",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "6297",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shapes, Inc
• Mariluz Sosa
• Alexis Soto Hernandez, MD
• Kimberly M Soto Mieles
• Kiara Alanis Soto Quiles
• Maria Magdalena Soto
• Nacha-Lee Soto, DRA.
• Specialty Healthcare Clinic at Pepino LLC
• Stepbysteptherapygroup
• Su Farmacia Modelo Z P Inc (Farmacia Modelo)

• Clinical Psychologist in San Sebastian, PR
• Providers in San Sebastian, 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 Sep 12, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.