Organization Active NPI

Neurogenesis Centro de Tratamiento Multidisciplinario, LLC

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1992654891
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
NEUROGENESIS CENTRO DE TRATAMIENTO MULTIDISCIPLINARIO, LLC
Practice address
M 133 Metro Plaza Las Monjitas
Ave Tito Castro 1255 Paseos Las Monjitas
Ponce, PR 00730
Phone
(939) 630-0860
NPI assigned
Jan 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Authorized official

Name
Elvin Soto Hernandez, MBRNPI 1689983496
Title
Clinical Psychologist
Phone
(939) 630-0860

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 PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

M 133 Metro Plaza Las Monjitas
Ave Tito Castro 1255 Paseos Las Monjitas
Ponce, PR 00730

Mailing address

Urb Estancias del Mayoral
Calle Guajana 12012
Villalba, PR 00766-2430
Phone (939) 630-0860

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1992654891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB ESTANCIAS DEL MAYORAL",
            "address_2": "CALLE GUAJANA 12012",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007662430",
            "telephone_number": "939-630-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "M 133 METRO PLAZA LAS MONJITAS",
            "address_2": "AVE TITO CASTRO 1255 PASEOS LAS MONJITAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00730",
            "telephone_number": "939-630-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROGENESIS CENTRO DE TRATAMIENTO MULTIDISCIPLINARIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "SOTO HERNANDEZ",
        "authorized_official_first_name": "ELVIN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "939-630-0860",
        "authorized_official_credential": "MBR"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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 Jan 23, 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.

Verify at the official NPI Registry.