Individual provider · Type 1 NPI

Antonio Bustillo, PhD

Clinical Psychologist · San Juan, PR

NPI number 1053616474 Active

Practice location

623 Ave Ponce De Leon, Suite 601-B Hato Rey
San Juan, PR 00917-4820

Call (787) 518-1054 Map

Fax (787) 750-1472

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X1205 (PR)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1053616474

Antonio Bustillo, PhD's National Provider Identifier is 1053616474, issued on Jan 15, 2011. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Juan, PR. The record was last updated on Jan 15, 2011.