Individual provider Active NPI

Josue M Vega Soto, PHD

  • Clinical Psychologist
  • Arecibo, PR
National Provider Identifier
1588660963
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1881 Issued in PR
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

Updated by the provider on Sep 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1881PRMDSpecialist

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.

Verify at the official NPI Registry.