Provider Demographics
NPI:1992518534
Name:MARTINEZ-RODRIGUEZ, LESLIE CAROLINA
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:CAROLINA
Last Name:MARTINEZ-RODRIGUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1613 HAYDEN ST
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-3730
Mailing Address - Country:US
Mailing Address - Phone:956-200-8685
Mailing Address - Fax:
Practice Address - Street 1:722 MORGAN BLVD STE 116
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-5139
Practice Address - Country:US
Practice Address - Phone:956-734-5044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health