Provider Demographics
NPI:1225991342
Name:MELENDEZ ROMAN, LESSLIE MARIA (DOCTORA)
Entity type:Individual
Prefix:DR
First Name:LESSLIE
Middle Name:MARIA
Last Name:MELENDEZ ROMAN
Suffix:
Gender:F
Credentials:DOCTORA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 185
Mailing Address - Street 2:
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623-0185
Mailing Address - Country:US
Mailing Address - Phone:939-640-7938
Mailing Address - Fax:939-640-7938
Practice Address - Street 1:55 N CALLE DR BASORA
Practice Address - Street 2:EDIFICIO MEDICO IV SUITE 210
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-4810
Practice Address - Country:US
Practice Address - Phone:939-640-7938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-05
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8788103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical