Organization
NEURODIVERSAMENTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISMARIE SOTO INFANTE PSY.D. (PRESIDENTE)
(787) 204-6886
Entity
Organization
Contact information
Practice address
527 CALLE SERGIO CUEVAS BUSTAMANTE, AVE MANUEL DOMENECH, SAN JUAN, PR 00918-2677
(787) 204-6886
Mailing address
74 CALLE CONVENTO, SANTA ISABEL, PR 00757-3014
(787) 204-6886
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
09/15/2025
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