Individual provider Active NPI

Marilyn Soto Escribano, PSYCOLOGIST

  • Counseling Psychologist
  • Las Piedras, PR
National Provider Identifier
1689336653
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6709 Issued in PR
Practice address
Carr. 198 KM. 24.0
Las Piedras, PR 00791
Phone
(787) 908-4180
NPI assigned
Oct 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 6709 PR Primary

Addresses

Primary practice location

Carr. 198 KM. 24.0
Las Piedras, PR 00791

Mailing address

HC 15 Box 16020
Humacao, PR 00791-9746
Phone (787) 908-4180

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

State licenses

LicenseStateTypeSpecialty
6709PRMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1689336653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 15 BOX 16020",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007919746",
            "telephone_number": "787-908-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 198 KM. 24.0",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-908-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO ESCRIBANO",
        "first_name": "MARILYN",
        "name_prefix": "Mrs.",
        "credential": "PSYCOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "6709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.