Lidice Gonzalez Gonzalez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11050991 Issued in FL

Practice address

4180 SW 53Rd Ave
Davie, FL 33314-3731

Phone

(786) 382-7232

NPI assigned

Sep 16, 2026

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1477464469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361003",
            "telephone_number": "305-689-5808",
            "fax_number": "305-689-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 SW 53RD AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143731",
            "telephone_number": "786-382-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ GONZALEZ",
        "first_name": "LIDICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11050991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyan Gondin Hernandez, MD
• Khallilah Gonsalves, COTA
• Rene Gonzales Camacho, O.D.
• Daniel Alejandro Gonzales-Portillo
• Sulia Danneysi Gonzalez Almeida
• Talia Michelle Gonzalez Hernandez
• Alanis Gonzalez Soto
• Anaiyeli Gonzalez Valladares
• Adialep Gonzalez
• Adriana Gonzalez

• Family Nurse Practitioner in Davie, FL
• Providers in Davie, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.