Lisdan Gonzalez Sr, is a
Massage Therapist physician based in Miami, Florida. Lisdan Gonzalez Sr is licensed to practice in Florida (license number HCC11651) and his current practice location is 777 Nw 72nd Ave Ste 3072, Miami, Florida. He can be reached at his office (for appointments etc.) via phone at
(305) 396-3862.
NPI number for Lisdan Gonzalez Sr is 1356808497 and his current mailing address is 777 Nw 72nd Ave Ste 3072, Miami, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356808497.
Physician's Profile
Full Name | Lisdan Gonzalez Sr |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 777 Nw 72nd Ave Ste 3072, Miami, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356808497
- Provider Enumeration Date: 02/25/2019
- Last Update Date: 02/25/2019
Medical Identifiers
Medical identifiers for Lisdan Gonzalez Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356808497 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | HCC11651 (Florida) | Secondary |
225700000X | Massage Therapist | HCC11651 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisdan Gonzalez Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisdan Gonzalez Sr, 777 Nw 72nd Ave Ste 3072, Miami, FL 33126-3188 Ph: (305) 396-3862 | Lisdan Gonzalez Sr, 777 Nw 72nd Ave Ste 3072, Miami, FL 33126-3188 Ph: (305) 396-3862 |
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