Ruben Leon Guzman Sr., PSYD.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8206 Issued in PR

Practice address

Executive Hall 471 Suite 103a
Calle Ferrocarril
Ponce, PR 00717-4199

Phone

(787) 432-6433

NPI assigned

Dec 13, 2024

Last updated

Jan 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1578370466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VALLE SERENO #32 CALLE AMOR",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007959324",
            "telephone_number": "787-432-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EXECUTIVE HALL 471 SUITE 103A",
            "address_2": "CALLE FERROCARRIL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007174199",
            "telephone_number": "787-432-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON GUZMAN",
        "first_name": "RUBEN",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PSYD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-13",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blanca Lefebre, MT
• Lens Optical Boutique Corp
• Lens Outlet
• Jerry Luis Leon - Rodriguez, M.D.
• Nomar Alejandro Leon Espada
• Natalie Enid Leon Perez, PSYD
• Rosemarie Leon Rosado
• Roberto Leon-Perez, MD
• Mariela Leon-Velazquez, PH.D.
• Maria Amalia Leon-Yordan, PHARMD

• Clinical Psychologist in Ponce, PR
• Providers in Ponce, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.