LISDAN GONZALEZ SR. (NPI# 1356808497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356808497 |
| Entity Type | Individual |
| Full Name | LISDAN GONZALEZ SR. |
| Practice Address |
777 Nw 72nd Ave Ste 3072 Miami FL 33126-3188 |
| Practice Telephone | 3053963862 |
| Practice Fax Number | 3053968526 |
| Mailing Telephone | 3053963862 |
| Mailing Fax Number | 3053968526 |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | HCC11651 | FL | Allopathic & Osteopathic Physicians |
| Y | 225700000X | Massage Therapist | HCC11651 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
777 NW 72ND AVE STE 3072 |
| City | MIAMI |
| State | FL |
| Zip Code | 33126-3188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122956 | Lissue Rodriguez Miranda | Behavior Technician | 296 Norhwest Dr, Miami, FL 33126 | 2020-10-22 |
| 1669086534 | Dayami Villavicencio | Behavior Technician | 300nw 40th Ct, Miami, FL 33126 | 2020-09-08 |
| 1013526888 | Yanira Rey | Behavior Technician | 4550 Nw 9th St, Apt 701, Miami, FL 33126 | 2020-07-28 |
| 1215575782 | Ana Rita Franco | Marriage & Family Therapist | 6303 Blue Lagoon Dr. #400, Miami, FL 33126 | 2019-12-16 |
| 1417590084 | Grisel De La Fe Perez | Nurse Practitioner | 740 Nw 45th Ave, Miami, FL 33126 | 2019-10-25 |
| 1912471889 | Ashley Marie Dominguez | Counselor | 5201 Blue Lagoon Dr # 891, Miami, FL 33126 | 2019-01-14 |
| 1295227346 | Rita Caridad Rodriguez | Behavior Technician | Bett-er Support & Service Inc., 815 Nw 57 Avenue Ste 114, Miami, FL 33126 | 2018-06-05 |
| 1992296693 | Ana Isabel Escobar Martinez | Behavior Technician | 8045 Nw 7th St Apt 404, Miami, FL 33126 | 2018-05-29 |
| 1073004362 | Edelmis Estevez Rodriguez | Behavior Technician | 266 Nw 40th Ct, Miami, FL 33126 | 2018-05-23 |
| 1003304478 | Md Now Medical Centers Inc | Clinic/Center | 150 Nw 42nd Ave, Miami, FL 33126 | 2018-05-01 |
| Find all providers in zip 33126 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254785 | Rigoberto Rosa | Massage Therapist | 51 Ne 24th St, Miami, FL 33137-5385 | 2020-10-27 |
| 1801495346 | Nina Villalonga | Massage Therapist | 7924 Sw 19th St, Miami, FL 33155-1334 | 2020-10-24 |
| 1275131641 | Kaylee Sofia Nieves | Massage Therapist | 265 Ne 53rd St Apt 3, Miami, FL 33137-2839 | 2020-10-16 |
| 1346848587 | Guirlande Joseph | Massage Therapist | 173 Nw 39th St, Miami, FL 33127-2911 | 2020-10-10 |
| 1851908420 | Joannet Hassan | Massage Therapist | 3401 Nw 17th Ave Apt 809, Miami, FL 33142-5619 | 2020-09-28 |
| 1487260873 | Shane Magdaleno | Massage Therapist | 4501 Sw 113th Ave, Miami, FL 33165-5567 | 2020-09-21 |
| 1164037198 | Yaremis Sarraff | Massage Therapist | 2433 Sw 112th Ct, Miami, FL 33165-2248 | 2020-09-15 |
| 1275148710 | Alejandro Manuel Garcia | Massage Therapist | 8735 Sw 113th Ct, Miami, FL 33173-4233 | 2020-09-11 |
| 1548875073 | Kimani Cooke | Massage Therapist | 9945 Sw 155th St, Miami, FL 33157-1638 | 2020-09-11 |
| 1609481423 | Tamika Gayle | Massage Therapist | 21471 San Simeon Way Bldg 14-111, Miami, FL 33179-2155 | 2020-09-09 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.