Active NPIIndividual providerSole proprietor

Dr. Jonathan Madera Soto, PSYD

Psychologist in San Sebastian, Puerto Rico

NPI Number1720701568
Practice location
Bo. Cibao Sector Finca Los Robles, Carr. 119 Ramal 455 K 10.2, San Sebastian, PR 00685
Fax
—
Last updated
September 26, 2022

Jonathan Madera Soto is a Psychologist based in San Sebastian, PR. Jonathan Madera Soto practices in San Sebastian, PR and has the professional credentials of PSYD. The NPI Number for Jonathan Madera Soto is 1720701568 and holds a License No. 6661 (PR). The current practice location address for Jonathan Madera Soto is Bo. Cibao Sector Finca Los Robles, Carr. 119 Ramal 455 K 10.2, San Sebastian, PR 00685 and can be reached out via phone at 787-436-1394.

Provider Profile Details

NPI Number
1720701568
Provider Name
Jonathan Madera Soto
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
Bo. Cibao Sector Finca Los Robles, Carr. 119 Ramal 455 K 10.2, San Sebastian, PR 00685
Phone Number
787-436-1394
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 26, 2022
Last Update Date
September 26, 2022
Certification Date
September 20, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
Bo. Cibao Sector Finca Los Robles
Carr. 119 Ramal 455 K 10.2
San Sebastian, PR 00685
Zip
00685
Phone Number
787-436-1394
San Sebastian, PR 00685Get directions →

Provider Business Mailing Address Details

Address
Hc 4 Box 44285
Lares, PR 00669-9592
City
Lares
State
PR
Zip
00669-9592
Phone Number
787-436-1394

License Information

License Number
6661
License State
PR
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jonathan Madera Soto, PSYD?

The NPI number of Dr. Jonathan Madera Soto, PSYD is 1720701568. It was assigned on September 26, 2022 and is currently active in the NPPES registry.

What is the specialty of Dr. Jonathan Madera Soto, PSYD?

Dr. Jonathan Madera Soto, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in PR under license number 6661.

Where does Dr. Jonathan Madera Soto, PSYD practice?

The practice location is Bo. Cibao Sector Finca Los Robles, Carr. 119 Ramal 455 K 10.2, San Sebastian, PR 00685. The office can be reached at 787-436-1394 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720701568 directly on the NPPES registry website.

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