DR. ANTHONY VIVES DE LEON


Address: Iturregui Plaza Shopping Center, 1135 Avenida 65 De Infanteria, Ste 215-a, San Juan, PR 00924
Phone: 9392469126

DR. ANTHONY VIVES DE LEON (NPI# 1861099947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861099947
Entity Type Individual
Full Name DR. ANTHONY VIVES DE LEON
Credential PSY.D.
Practice Address Iturregui Plaza Shopping Center
1135 Avenida 65 De Infanteria, Ste 215-a
San Juan
PR 00924
Mailing Address Po Box 71325
Pmb 299
San Juan
PR 00936
Practice Telephone 9392469126
Mailing Telephone 7879341964
Enumeration Date 2020-10-02
Last Update Date 2020-10-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
6310 TN Behavioral Health & Social Service Providers

Office Location

Street Address ITURREGUI PLAZA SHOPPING CENTER,
1135 AVENIDA 65 DE INFANTERIA, STE 215-A
City SAN JUAN
State PR
Zip Code 00924

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1629606611 Eduin Eladio Caceres Ortiz Psychologist 1479 Ave Ashford Ste 6, San Juan, PR 00907-1583 2020-03-27
1427684505 Maria Gabriela Velasco Corrada Psychologist 576 Ave Arterial B Apt 1207, San Juan, PR 00918-2211 2020-03-20
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1689204794 Maria Melisa Velazquez Psychologist Monte Atenas Office Park Suite 215, Ave. Las Cumbres Km4.0, San Juan, PR 00926 2020-01-17
1164062410 Mayra E. Davila Rivera Psychologist Ave: Monte Carlo # 34354 Parcela B Finca Mariem, San Juan, PR 00929-1194 2020-01-14
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1194362558 Nayda Ivette Roman-vazquez Psychologist 511 Ave Hostos Ste 103, San Juan, PR 00918-3247 2019-12-04
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City SAN JUAN
Zip Code 00924

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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