Lidiana Gonzalez Rodriguez, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ12052 Issued in FL

Practice address

1401 NE 117TH St
Miami, FL 33161-6909

Phone

(786) 970-4103

NPI assigned

Aug 5, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Angel Speech and Therapy Services, Inc.

  • Clinic/Center
  • Hialeah, FL
  • NPI 1023413440

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1285464313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 NE 117TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331616909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 NE 117TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331616909",
            "telephone_number": "786-970-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ RODRIGUEZ",
        "first_name": "LIDIANA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ12052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andy Felix Gonzalez Rodriguez I
• Cristian Gonzalez Rodriguez
• Daisy Gonzalez Rodriguez
• Laura Beatriz Gonzalez Rodriguez
• Lendy Andres Gonzalez Rodriguez
• Melissa Gonzalez Rodriguez, RBT
• Mileisy Gonzalez Rodriguez, LMHC, CBHCMS, CPT
• Miranda Gonzalez Rodriguez
• Monica Gonzalez Rodriguez
• Norma Yanela Gonzalez Rodriguez

• Speech-Language Pathologist in Miami, FL
• Providers in Miami, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.