Individual provider Active NPI

Raul Soto-Acosta, M.D.

  • Psychiatry Physician
  • Jacksonville, FL
National Provider Identifier
1619991106
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME69974 Issued in FL
Practice address
3547 Hendricks Ave
Jacksonville, FL 32207-5309
Phone
(904) 877-1100
Fax
(904) 733-5258
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME69974 FL Primary

Addresses

Primary practice location

3547 Hendricks Ave
Jacksonville, FL 32207-5309

Mailing address

3547 Hendricks Ave
Jacksonville, FL 32207-5309
Phone (904) 877-1100

Other practice location 1

2520 University Blvd W
Jacksonville, FL 32217-2004
Phone (904) 877-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050525000572 FL Practitioner - Psychiatry 5799727228 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Puerto Rico School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Resource Center IncGroup PAC ID 2567446982, 14 clinicians
Diabetico Internacional IncGroup PAC ID 7315133949, 4 clinicians
Integrative Psychiatric Solutions, LLCGroup PAC ID 9133451271, 2 clinicians

Practice addresses (Care Compare)

11820 Beach Blvd
Jacksonville, FL 32246-6670
Phone (904) 642-9100

2520 University Blvd W
Jacksonville, FL 32217-2004
Phone (904) 914-8947

3547 Hendricks Ave
Jacksonville, FL 32207-5309
Phone 9048771100105

655 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-0411

Hospital & facility affiliations

  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetico Internacional, Inc. CurrentSince Oct 20, 2024 Accepting new patients

Locations

2520 University Blvd W
Jacksonville, FL 32217
Phone (904) 733-1444

Interoperability endpoints

  • Direct secure messaging: rsotoacosta54593@direct.shands.ufl.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1619991106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3547 HENDRICKS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075309",
            "telephone_number": "904-877-1100",
            "fax_number": "904-877-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3547 HENDRICKS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075309",
            "telephone_number": "904-877-1100",
            "fax_number": "904-733-5258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2520 University Blvd W",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322172004",
            "country_code": "US",
            "telephone_number": "904-877-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTO-ACOSTA",
        "first_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME69974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.