Individual provider · Type 1 NPI

Lisandra Gonzalez Verdecia, DENTIST

Student in an Organized Health Care Education/Training Program · Miami, FL

NPI number 1093520769 Active

Practice location

1611 NW 12th Ave Fl 33136
Miami, FL 33136-1005

Call (754) 232-0909 Map

Mailing address

137 Golden Isles Dr Apt 610
Hallandale Beach, FL 33009-5810

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093520769

Lisandra Gonzalez Verdecia, DENTIST's National Provider Identifier is 1093520769, issued on Feb 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Miami, FL. The record was last updated on Feb 10, 2025.