Healthcare Provider Details

I. General information

NPI: 1346105731
Provider Name (Legal Business Name): RAUL SOTO-YULFO PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10300 SUNSET DR STE 114
MIAMI FL
33173-3038
US

IV. Provider business mailing address

11253 SW 91ST TER
MIAMI FL
33176-1165
US

V. Phone/Fax

Practice location:
  • Phone: 305-302-4776
  • Fax:
Mailing address:
  • Phone: 305-302-4776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY13084
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: