Individual provider Active NPI

Paulette Teresa Soto Martinez, PSYD

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1720690969
Registry record updated Nov 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6581 Issued in PR
Practice address
22 Calle Sol
Ponce, PR 00730-3820
Phone
(787) 974-3773
NPI assigned
Aug 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6581 PR Primary

Addresses

Primary practice location

22 Calle Sol
Ponce, PR 00730-3820

Mailing address

2348 Calle Guadalquivir
Urb Rio Canas
Ponce, PR 00728-1839
Phone (787) 974-3773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221020003432 PR Practitioner - Clinical Psychologist 7719353416 Practice locations: Ponce, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica de Servicios Psicologicos Serenidad LLC Clinical CurrentSince Apr 13, 2025 Accepting new patients
Tiber Health, Public Benefit Corporation PastSince Sep 29, 2024 Accepting new patients

Locations

22 Calle Sol
Ste 101
Ponce, PR 00730
Phone (787) 955-0779

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762646400000",
    "number": "1720690969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2348 CALLE GUADALQUIVIR",
            "address_2": "URB RIO CANAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007281839",
            "telephone_number": "787-974-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CALLE SOL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303820",
            "telephone_number": "787-974-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO MARTINEZ",
        "first_name": "PAULETTE",
        "middle_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2025-11-09",
        "certification_date": "2025-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.