Active NPI
Sara I Soto, PSYD
- Clinical Psychologist
- Guayama, PR
National Provider Identifier
1538432240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4212
- Practice address
- 102 Calle Ashford 128
Ashford Medical Plaza
Guayama, PR 00784 - Phone
- (787) 866-0337
- Fax
- (787) 866-0337
- NPI assigned
- Feb 13, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4212 | PR | Primary |
Addresses
Primary practice location
102 Calle Ashford 128
Ashford Medical Plaza
Guayama, PR 00784
Mailing address
102 Calle Ashford 128
Ashford Medical Plaza
Guayama, PR 00784
Phone (787) 866-0337
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130116000395 | PR | Practitioner - Clinical Psychologist | 2961655295 | Practice locations: Guayama, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
Ashford Medical Plaza
Guayama, PR 00784
Phone (787) 866-0337
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329091200000",
"number": "1538432240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 CALLE ASHFORD 128",
"address_2": "ASHFORD MEDICAL PLAZA",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "00784",
"telephone_number": "787-866-0337",
"fax_number": "787-866-0337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 CALLE ASHFORD 128",
"address_2": "ASHFORD MEDICAL PLAZA",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "00784",
"telephone_number": "787-866-0337",
"fax_number": "787-866-0337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO",
"first_name": "SARA",
"middle_name": "I",
"name_prefix": "Mrs.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-13",
"last_updated": "2012-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "4212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guayama, PR
- Alex Ramon Sola Alicea
- Mayra J Sosa, MS
- Maylene Soto Cartagena, PHARM.D
- Eliomar Soto Malave Sr., MD
- Oriana Priscila Soto, PA
- South Cntral Anesthesia CSP
- Southeast Anesthesia Services, PSC
- Southeast Gastroenterology PSC
- Southeastern Healthcare Holdings LLC
- Southeastern in Hospital Medical Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.