Active NPI
Rafael Jeudiel Soto Rivera, PSY.D
- Clinical Psychologist
- Ponce, PR
National Provider Identifier
1821964628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4344
- Practice address
- Plaza Sol de Borinquen
Calle Villa 139, Local 113
Ponce, PR 00730-0563 - Phone
- (787) 629-1444
- NPI assigned
- Oct 17, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4344 | PR | Primary |
Addresses
Primary practice location
Plaza Sol de Borinquen
Calle Villa 139, Local 113
Ponce, PR 00730-0563
Mailing address
7102 Veredas del Laurel
Coto Laurel, PR 00780-3019
Phone (787) 245-7118
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4344 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1821964628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7102 VEREDAS DEL LAUREL",
"city": "COTO LAUREL",
"state": "PR",
"postal_code": "007803019",
"telephone_number": "787-245-7118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PLAZA SOL DE BORINQUEN",
"address_2": "CALLE VILLA 139, LOCAL 113",
"city": "PONCE",
"state": "PR",
"postal_code": "007300563",
"telephone_number": "787-629-1444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO RIVERA",
"first_name": "RAFAEL",
"middle_name": "JEUDIEL",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-17",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "4344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.