Active NPI
Josue M Vega Soto, PHD
- Clinical Psychologist
- Arecibo, PR
National Provider Identifier
1588660963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1881
- Practice address
- Calle Manuel Perez Freytez #256
Arecibo, PR 00614 - Phone
- (787) 536-0922
- Fax
- (787) 879-1934
- NPI assigned
- Jun 22, 2005
- Reactivated
- Apr 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1881 | PR | |
| Clinical Psychologist | 103TC0700X | 1881 | PR | Primary |
Addresses
Primary practice location
Calle Manuel Perez Freytez #256
Arecibo, PR 00614
Mailing address
PO Box 140501
Calle Manuel Perez Freykz #256
Arecibo, PR 00614
Phone (787) 536-0922
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1881 | PR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347494400000",
"number": "1588660963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 140501",
"address_2": "CALLE MANUEL PEREZ FREYKZ #256",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00614",
"telephone_number": "787-536-0922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE MANUEL PEREZ FREYTEZ #256",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00614",
"telephone_number": "787-536-0922",
"fax_number": "787-879-1934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA SOTO",
"first_name": "JOSUE",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2012-09-13",
"deactivation_date": "2006-03-18",
"reactivation_date": "2006-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "1881",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "1881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.