Lisandra Medina Gonzalez, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

001325 Issued in PR

Practice address

Street # 2 Ave. Miramar KM 79.4
#1141
Arecibo, PR 00612

Phone

(787) 817-0597

NPI assigned

Aug 13, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1972936995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROAD # 492 KM, 2.7 STREET LOS MARTINEZ II",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006590098",
            "telephone_number": "787-619-6925",
            "fax_number": "787-898-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREET # 2 AVE. MIRAMAR KM 79.4",
            "address_2": "#1141",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-817-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LISANDRA",
        "middle_name": "MEDINA",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "001325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S",
            "identifier": "MM 74003622",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irma L Gonzalez, DMD
• Isamar Gonzalez, LCDA.
• Jenniffer Gonzalez, MS PHL
• Jesseka Darlene Gonzalez
• Leticia Gonzalez, MSW
• Loraine Gonzalez
• Lorna Gonzalez
• Lorna J Gonzalez, LND
• Luis Rafael Gonzalez, M.D.
• Maria Noelia Gonzalez, MSW

• Speech-Language Pathologist in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Speech-Language Pathologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.