Active NPI
Nydia Sostre-Ruiz, DR.
- Psychologist
- San Juan, PR
National Provider Identifier
1659334415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- #192
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15-192 | Other | PR | PSYCHOLOGIST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| #192 | PR | MD | Psychologist |
| 192 | PR | MD | Naturopath |
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.