Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Antonio Bustillo, PHD

Individual provider Clinical Psychologist · NPI 1053616474

Dr. Antonio Bustillo, PHD is a Clinical Psychologist in San Juan, Puerto Rico. Practices as a sole proprietor. Licensed in Puerto Rico.

Licensed in
PR
In the registry since
2011
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

623 Ave Ponce De Leon Ste 601-B Hato Rey
San Juan, PR 00917-4820
Phone: (787) 518-1054
Fax: (787) 750-1472

No coordinates on file. Search this address in Google Maps

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1205 (PR)

Record details

NPI number1053616474
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 15, 2011
Last updated in NPPESJanuary 15, 2011

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