Diane Loo Gonzalez, APRN

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

APRN11022468 Issued in FL

Practice address

3232 Coral Way Apt 114
Coral Gables, FL 33145-3185

Phone

(305) 975-5670

NPI assigned

Jan 4, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 18, 2024 through Jun 18, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jeffrey S Epstein MD PA

  • Otolaryngology/Facial Plastic Surgery Physician
  • South Miami, FL
  • NPI 1770911174

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1104539121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 CORAL WAY APT 114",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453185",
            "telephone_number": "305-975-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 CORAL WAY APT 114",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453185",
            "telephone_number": "305-975-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DIANE",
        "middle_name": "LOO",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "APRN11022468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cielo Gonzalez
• Claudia Victoria Gonzalez
• Dailena Gonzalez
• Daniel Gonzalez
• Daphne Christine Gonzalez, APRN
• Edek Gonzalez, D.D.S.
• Elizabeth Gonzalez, C.R.N.A.
• Fatima Gonzalez, IBCLC
• Iliana Gonzalez
• Iris Gonzalez

• Dermatology Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.