Dr. Antonio Bustillo, PHD
Psychologist, Clinical in San Juan, Puerto Rico
1053616474- Practice location
- 623 Ave Ponce De Leon, Suite 601-B Hato Rey, San Juan, PR 00917-4820
- Phone
- 787-518-1054
- Fax
- 787-750-1472
- Last updated
- January 15, 2011
Antonio Bustillo is a Psychologist, Clinical based in San Juan, PR. Antonio Bustillo practices in San Juan, PR and has the professional credentials of PHD. The NPI Number for Antonio Bustillo is 1053616474 and holds a License No. 1205 (PR). The current practice location address for Antonio Bustillo is 623 Ave Ponce De Leon, Suite 601-B Hato Rey, San Juan, PR 00917-4820 and can be reached out via phone at 787-518-1054 and via fax at 787-750-1472.
Provider Profile Details
- NPI Number
- 1053616474
- Provider Name
- Antonio Bustillo
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 623 Ave Ponce De Leon, Suite 601-B Hato Rey, San Juan, PR 00917-4820
- Phone Number
- 787-518-1054
- Fax Number
- 787-750-1472
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 15, 2011
- Last Update Date
- January 15, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 623 Ave Ponce De Leon
Suite 601-B Hato Rey
San Juan, PR 00917-4820 - City
- San Juan
- State
- Puerto Rico
- Zip
- 00917-4820
- Phone Number
- 787-518-1054
- Fax Number
- 787-750-1472
Provider Business Mailing Address Details
- Address
- 623 Ave Ponce De Leon
Suite 601-B Hato Rey
San Juan, PR 00917-4820 - City
- San Juan
- State
- PR
- Zip
- 00917-4820
- Phone Number
- 787-518-1054
- Fax Number
- 787-750-1472
License Information
- License Number
- 1205
- License State
- PR
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Antonio Bustillo, PHD?
The NPI number of Dr. Antonio Bustillo, PHD is 1053616474. It was assigned on January 15, 2011 and is currently active in the NPPES registry.
What is the specialty of Dr. Antonio Bustillo, PHD?
Dr. Antonio Bustillo, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 1205.
Where does Dr. Antonio Bustillo, PHD practice?
The practice location is 623 Ave Ponce De Leon, Suite 601-B Hato Rey, San Juan, PR 00917-4820. The office can be reached at 787-518-1054 (phone) or 787-750-1472 (fax).
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 1053616474 directly on the NPPES registry website.