Anthony Vives de Leon, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6310 Issued in TN

Practice address

Iturregui Plaza Shopping Center,
1135 Avenida 65 de Infanteria, Ste 215-a
San Juan, PR 00924

Phone

(939) 246-9126

NPI assigned

Oct 2, 2020

Last updated

Oct 2, 2020By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1861099947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71325",
            "address_2": "PMB 299",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-934-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ITURREGUI PLAZA SHOPPING CENTER,",
            "address_2": "1135 AVENIDA 65 DE INFANTERIA, STE 215-A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "939-246-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVES DE LEON",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "6310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zaymara Vivaldi Marrero
• Jose Antonio Vivaldi-Oliver, DMD,MPH
• Vivanovamed LLC
• Vivian Vivas Colon
• Victor Daniel Vivas Lopez, MD
• Juan Ramon Vives Pagan, D.M.D.
• Miguel A Vives, MD
• Francine Vivoni, MD
• Fernando Vizcarrondo, M.D.
• Maria Cecilia Vizcarrondo, PH.D.

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, 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 Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.