Provider Demographics
NPI:1336811652
Name:GONZALEZ RODRIGUEZ, LENDY ANDRES
Entity type:Individual
Prefix:
First Name:LENDY
Middle Name:ANDRES
Last Name:GONZALEZ RODRIGUEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 NW 42ND AVE FL 5
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-4172
Mailing Address - Country:US
Mailing Address - Phone:305-204-0333
Mailing Address - Fax:
Practice Address - Street 1:860 NW 42ND AVE STE 101
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-4174
Practice Address - Country:US
Practice Address - Phone:305-946-1526
Practice Address - Fax:877-550-1853
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11014709363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily