LISDAN GONZALEZ NPI 1356808497

NPI Information

  • NPI: 1356808497
  • Provider Name: LISDAN GONZALEZ
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 777 NW 72ND AVE STE 3072
    MIAMI, FL
    ZIP 33126
  • Phone: (305) 396-3862

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NPI Details

Lisdan Gonzalez is a massage therapist in Miami, FL. The provider is 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. Lisdan Gonzalez NPI is 1356808497. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

777 NW 72ND AVE STE 3072
MIAMI, FL
ZIP 33126-188
Phone: (305) 396-3862
Fax: (305) 396-8526

The enumeration date for this NPI number is 2/25/2019 and was last updated on 2/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208100000XPhysical Medicine & RehabilitationHCC11651FLORIDANo
2225700000XMassage TherapistHCC11651FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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