Gonzalez, Lidia
Gonzalez, Lidia is an sole proprietor health care provider with primary practice located at 9222 Sw 208Th Ter , Cutler Bay FL 33189-3824. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Gonzalez, Lidia can be contacted via phone (305) 761-0637.Contact Information
Primary practice address
9222 Sw 208Th Ter
Cutler Bay FL 33189-3824
Phone: (305) 761-0637
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1295248953 |
|---|---|
| LBN Legal business name | Gonzalez, Lidia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2017 |
| Last updated | Nov 15th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295248953 | NPPES |
| Florida | MEDICAID | 692024 |
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