Provider Demographics
NPI:1114809696
Name:ROLON RIOS, LESLEY
Entity type:Individual
Prefix:
First Name:LESLEY
Middle Name:
Last Name:ROLON RIOS
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:PO BOX 626
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-0626
Mailing Address - Country:US
Mailing Address - Phone:787-615-3023
Mailing Address - Fax:
Practice Address - Street 1:CARR. 2 KM 92.3
Practice Address - Street 2:CENTRO DE TERAPIAS YABISI, MARGINAL INT.
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627
Practice Address - Country:US
Practice Address - Phone:787-597-5457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4333103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling