LISDAN GONZALEZ SR.
NPI 1356808497
Massage Therapist in Miami, FL

Active since February 25, 2019
777 NW 72ND AVE STE 3072, MIAMI, FL 33126(305) 396-3862(305) 396-8526 Get Directions Write a Review

NPPES record last updated: February 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisdan Gonzalez Sr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISDAN GONZALEZ SR. (NPI 1356808497) is an individual massage therapist in Miami, Florida, licensed in Florida (HCC11651) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1356808497
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameLISDAN GONZALEZ SR.
Location Address777 NW 72ND AVE STE 3072Miami, FL 33126-3188
Mailing Address777 Nw 72nd Ave Ste 3072Miami, FL 33126-3188 · (305) 396-3862 · Fax (305) 396-8526
Fax(305) 396-8526
Sole ProprietorNo
Enumeration DateFebruary 25, 2019
NPI 1356808497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in FL · HCC11651
Definition
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.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License HCC11651 (FL)
777 NW 72ND AVE STE 3072, Miami, FL 33126

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
777 NW 72ND AVE STE 3072
MIAMI, FL 33126

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisdan Gonzalez's NPI number?

The NPI number for Lisdan Gonzalez is 1356808497. It was assigned to this individual provider in the NPPES registry on February 25, 2019.

Where is Lisdan Gonzalez located?

Lisdan Gonzalez practices at 777 NW 72nd Ave Ste 3072, Miami, FL 33126. The listed phone number is (305) 396-3862.

What is Lisdan Gonzalez's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Lisdan Gonzalez was last updated on February 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.