Individual
DR. ANTHONY VIVES DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
ITURREGUI PLAZA SHOPPING CENTER,, 1135 AVENIDA 65 DE INFANTERIA, STE 215-A, SAN JUAN, PR 00924
(939) 246-9126
Mailing address
PO BOX 71325, PMB 299, SAN JUAN, PR 00936
(787) 934-1964
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6310
TN
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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