Healthcare Provider Details

I. General information

NPI: 1275443111
Provider Name (Legal Business Name): MARTHA ELIA MADRIGAL-RAMOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23702 SUN CHASE CIR
HARLINGEN TX
78552-4347
US

IV. Provider business mailing address

23702 SUN CHASE CIR
HARLINGEN TX
78552-4347
US

V. Phone/Fax

Practice location:
  • Phone: 956-778-6244
  • Fax:
Mailing address:
  • Phone: 956-778-6244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number84812
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: