Gonzalo De Quesada, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME 13221 Issued in FL

Practice address

South Dade Neonatology
215 Grand Avenue
Coral Gables, FL 33133-4841

Phone

(305) 441-7179

Fax

(305) 448-7134

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• South Dade Neonatology

  • Neonatal-Perinatal Medicine Physician
  • Coral Gables, FL
  • NPI 1841369006
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1285732164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SOUTH DADE NEONATOLOGY",
            "address_2": "215 GRAND AVENUE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331334841",
            "telephone_number": "305-441-7179",
            "fax_number": "305-448-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOUTH DADE NEONATOLOGY",
            "address_2": "215 GRAND AVENUE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331334841",
            "telephone_number": "305-441-7179",
            "fax_number": "305-448-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE QUESADA",
        "first_name": "GONZALO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 13221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049834300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jorge Luis De la Pedraja, M.D.
• Judith De la Pena
• Annette Victoria De Leon
• Daniela Oliveira De Medeiros, PSY.D, MS.ED, MS
• Raphael Lima De Paiva, RBT
• Lucas De Virgilio, MD
• Mercedes Deal, APRN
• Peter Dean, PTA
• Nicole Deaton
• Ada J Deavila, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.