1. Home
  2. Directory
  3. NPI Profile

DR. ANTONIO BUSTILLO PH.D.
NPI 1053616474
Psychologist - Clinical in San Juan, PR

Active since January 15, 2011
623 AVE PONCE DE LEON, SUITE 601-B HATO REY, SAN JUAN, PR 00917(787) 518-1054(787) 750-1472 Get Directions Write a Review

NPPES record last updated: January 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Antonio Bustillo Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANTONIO BUSTILLO PH.D. (NPI 1053616474) is an individual clinical provider in San Juan, Puerto Rico, licensed in Puerto Rico (1205) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1053616474
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ANTONIO BUSTILLOCredential: PH.D.
Location Address623 AVE PONCE DE LEON, SUITE 601-B HATO REYSan Juan, PR 00917-4820
Mailing Address623 Ave Ponce De Leon, Suite 601-b Hato ReySan Juan, PR 00917-4820 · (787) 518-1054 · Fax (787) 750-1472
Phone(787) 518-1054
Fax(787) 750-1472
Sole ProprietorYes
Enumeration DateJanuary 15, 2011
✔ NPI 1053616474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PR · 1205
Definition
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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
623 AVE PONCE DE LEON, San Juan, PR 00917
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRUPO MEDICO PONCE DE LEON
Contractor
623 AVE PONCE DE LEON
SAN JUAN, PR 00917
San Juan Municipio (787) 767-1637
CELESTE MARIA GOMEZ-BIAMON
Psychologist (Counseling)
623 AVE PONCE DE LEON
SAN JUAN, PR 00917
San Juan Municipio (787) 602-8815
CYNTHIA BOJITO LICENCIADA
Social Worker (Clinical)
623 AVE PONCE DE LEON, BANCO COOPERATIVO SUITE 1106
SAN JUAN, PR 00917
San Juan Municipio (787) 240-3932
DR. JORGE A MONTIJO COLON PH.D.
Clinical Neuropsychologist
623 AVE PONCE DE LEON, 1106
SAN JUAN, PR 00917
San Juan Municipio (787) 763-2660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonio Bustillo's NPI number?

The NPI number for Antonio Bustillo is 1053616474. It was assigned to this individual provider in the NPPES registry on January 15, 2011.

Where is Antonio Bustillo located?

Antonio Bustillo practices at 623 Ave Ponce De Leon Suite 601-B Hato Rey, San Juan, PR 00917. The listed phone number is (787) 518-1054.

What is Antonio Bustillo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Antonio Bustillo was last updated on January 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.