Provider Demographics
NPI:1578437844
Name:CANDELARIA SOTO, LIANABEL (MS)
Entity type:Individual
Prefix:
First Name:LIANABEL
Middle Name:
Last Name:CANDELARIA SOTO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 6 BOX 13941
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-6717
Mailing Address - Country:US
Mailing Address - Phone:787-512-2469
Mailing Address - Fax:
Practice Address - Street 1:HC 5 BOX 91500
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-9516
Practice Address - Country:US
Practice Address - Phone:787-563-0112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6976103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty