Gonzalez, Lisandra Medina

Gonzalez, Lisandra Medina is an individual health care provider with primary practice located at Street # 2 Ave. Miramar Km 79.4 #1141, Arecibo PR 00612. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gonzalez, Lisandra Medina can be contacted via phone (787) 817-0597.

Contact Information

Primary practice address
Street # 2 Ave. Miramar Km 79.4 #1141 Arecibo PR 00612
Phone: (787) 817-0597
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 001325 Puerto Rico

Profile Details

NPI number 1972936995
LBN Legal business name Gonzalez, Lisandra Medina
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2013
Last updated Aug 13th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972936995 NPPES
Puerto Rico Other MM 74003622 TRIPLE-S

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