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NPI Code Detail

MEDICARE: DR. PAULETTE TERESA SOTO MARTINEZ PSYD

MEDICARE: DR. PAULETTE TERESA SOTO MARTINEZ PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist6581PR

General Provider Information

NPI Number : 1720690969
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAULETTE TERESA SOTO MARTINEZ PSYD
Provider Business Mailing Address
First Line : 2348 CALLE GUADALQUIVIR
Second Line : URB RIO CANAS
City : PONCE
State : PR
Zip : 00728-1839
Country : US
Telephone Number : 787-974-3773
Fax Number :
Provider Business Practice Location Address
First Line : 22 CALLE SOL
Second Line :
City : PONCE
State : PR
Zip : 00730-3820
Country : US
Telephone Number : 787-974-3773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2020
Last Update Date : 11/09/2025

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