Active NPI
Neurogenesis Centro de Tratamiento Multidisciplinario, LLC
- Clinical Psychologist
- Ponce, PR
National Provider Identifier
1992654891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elvin Soto Hernandez, MBR
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Villalba, PR
- NPI 1689983496
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.