Doctor Name: | DR. LESLEY ANN MELENDEZ-RIVERO |
NPI Number: | 1427028752 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY D |
License Number: | 002340 |
Business Practice Address: | Carretera 19 Esquina A Local # 4 Industrial Park Las Palmas Village Catano, PR - 00962 |
Business Phone Number: | 7877885297 |
Business Fax Number: | |
Mailing Address: | Po Box 329, LOIZA |
State: | PR |
Postal Code: | 007720329 |
Phone Number: | 7875647580 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2006 |
NPI Last Update Date: | 03/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 002340 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |