Individual provider Active NPI

Nydia Sostre-Ruiz, DR.

  • Psychologist
  • San Juan, PR
National Provider Identifier
1659334415
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
#192 Issued in PR
Practice address
Plaza San Francisco, Suite 107
Ave. de Diego # 201
San Juan, PR 00927-5931
Phone
(787) 282-0741
Fax
(787) 282-8217
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X #192 PR Primary

Addresses

Primary practice location

Plaza San Francisco, Suite 107
Ave. de Diego # 201
San Juan, PR 00927-5931

Mailing address

PMB #377 PO Box 70344
San Juan, PR 00936-8344
Phone (787) 282-8217

Other identifiers 1

IdentifierTypeStateIssuer
15-192OtherPRPSYCHOLOGIST

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
#192PRMDPsychologist
192PRMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659334415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB #377 PO BOX 70344",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368344",
            "telephone_number": "787-282-8217",
            "fax_number": "787-282-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA SAN FRANCISCO, SUITE 107",
            "address_2": "AVE. DE DIEGO # 201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009275931",
            "telephone_number": "787-282-0741",
            "fax_number": "787-282-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSTRE-RUIZ",
        "first_name": "NYDIA",
        "name_prefix": "Dr.",
        "credential": "DR.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "#192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST",
            "identifier": "15-192",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.