Healthcare Provider Details
I. General information
NPI: 1023926680
Provider Name (Legal Business Name): SOTO PSYCHOLOGY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
PLAZA MONSERRATE II OFFICE PLACE 1 BO LAVADERO CARR 345 KM 2.1
HORMIGUEROS PR
00660
US
IV. Provider business mailing address
14A CALLE J PARCELAR SAN ROMUALDO
HORMIGUEROS PR
00660-9741
US
V. Phone/Fax
- Phone: 939-269-0503
- Fax:
- Phone: 939-269-0503
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KARINA
I
SOTO RIVERA
Title or Position: OWNER
Credential:
Phone: 939-269-0503