Organization Active NPI

Plenamente Group LLC

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1780556068
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PLENAMENTE GROUP LLC
Practice address
360 Calle Ensenada
San Juan, PR 00920-3504
Phone
(787) 920-6051
NPI assigned
Sep 18, 2025
Last updated
Sep 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Melissa Soto, PHDNPI 1679462030
Title
Presidente
Phone
(787) 454-3876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

360 Calle Ensenada
San Juan, PR 00920-3504

Mailing address

188 Vista del Mar
Panorama Village
Bayamon, PR 00957-4407
Phone (787) 454-3876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251009004983 PR Part B Supplier - Clinic/Group Practice 9830696285 Receives reassigned benefits from 1 practitioner
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Locations

360 Calle Ensenada
San Juan, PR 00920
Phone (787) 454-3876

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1780556068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 VISTA DEL MAR",
            "address_2": "PANORAMA VILLAGE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009574407",
            "telephone_number": "787-454-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CALLE ENSENADA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009203504",
            "telephone_number": "787-920-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLENAMENTE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-454-3876",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.