Individual provider Active NPI

Daniel Gonzalez

  • Dermatopathology (Pathology) Physician
  • Coral Gables, FL
National Provider Identifier
1336672716
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
ME153559 Issued in FL
Practice address
4665 Ponce de Leon Blvd
Coral Gables, FL 33146-2101
Phone
(786) 464-0749
NPI assigned
Apr 4, 2017
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X A186364 CA
Dermatopathology (Pathology) Physician 207ZD0900X 6061870 ID
Dermatopathology (Pathology) Physician 207ZD0900X ME153559 FL Primary
Dermatopathology (Pathology) Physician 207ZD0900X 349189 LA

Addresses

Primary practice location

4665 Ponce de Leon Blvd
Coral Gables, FL 33146-2101

Mailing address

2148 W 54TH St
Hialeah, FL 33016-2032

Other practice location 1

1344 Hiland Ave Ste D
Burley, ID 83318-1564
Phone (208) 572-6005

Other practice location 2

1411 Falls Ave E Ste 1002
Twin Falls, ID 83301-3459
Phone (208) 595-5424

Other practice location 3

147 W Chubbuck Rd
Chubbuck, ID 83202-2314
Phone (208) 238-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA, FL, ID4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210712004015 PA Practitioner - Pathology 4587066675 Reassigns benefits to 1 organization
I20231130002142 CA Practitioner - Dermatology 4587066675 Reassigns benefits to 1 organization
I20231208001529 FL Practitioner - Pathology 4587066675 Reassigns benefits to 4 organizations
I20241121004561 ID Practitioner - Dermatology 4587066675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Pittsburgh School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Dermatology and Cosmetic Surgery P aGroup PAC ID 7517851215, 25 clinicians
High Valley Dermatology and Dermatologic Surgery PLLCGroup PAC ID 1850433137, 9 clinicians
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

1130 Commercial Way
Spring Hill, FL 34606-4518
Phone (352) 688-5544

2085 Providence Way
Idaho Falls, ID 83404-4945
Phone (208) 525-4888

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A186364CAMDDermatopathology (Pathology) Physician
ME153559FLMDDermatopathology (Pathology) Physician
349189LAMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Skin Institute LLC CurrentSince Jan 1, 2025 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2021 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2021 Accepting new patients
Precision Pathology Labs, LLC Dermatopathology Current Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Vitalmd Group Holding LLC CurrentSince Nov 1, 2025 Accepting new patients
High Valley Dermatology & Dermatologic Surgery PLLC CurrentSince Dec 1, 2024 Accepting new patients
Compass Dermatopathology, Inc. Dermatopathology CurrentSince Oct 17, 2023 Accepting new patients
Stoddard & Bingham Medical of Twin Falls PLLC PastSince Jul 31, 2023 Accepting new patients
Stoddard & Bingham Medical PLLC PastSince Aug 19, 2019 Accepting new patients
Indian River Pathology LLC Past Accepting new patients

Locations

6605 Nancy Ridge Dr
San Diego, CA 92121
Phone (858) 750-2983

4665 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (786) 268-6050

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

1344 Hiland Ave
Ste D
Burley, ID 83318
Phone (208) 572-6005

147 W Chubbuck Rd
Chubbuck, ID 83202
Phone (208) 238-7546

2085 Providence Way
Idaho Falls, ID 83404
Phone (208) 525-4888

1411 Falls Ave E
Ste 1002
Twin Falls, ID 83301
Phone (208) 595-5424

320 Main St
Johnstown, PA 15901
Phone (814) 533-0123

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

3708 5th Ave
Ste 500
Pittsburgh, PA 15213
Phone (412) 383-1800

5230 Centre Ave
Shadyside, PA 15232
Phone (412) 623-2167

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1336672716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 W 54TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462101",
            "telephone_number": "786-464-0749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1344 Hiland Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Burley",
            "state": "ID",
            "postal_code": "833181564",
            "country_code": "US",
            "telephone_number": "208-572-6005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 Falls Ave E Ste 1002",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833013459",
            "country_code": "US",
            "telephone_number": "208-595-5424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "147 W Chubbuck Rd",
            "address_purpose": "LOCATION",
            "city": "Chubbuck",
            "state": "ID",
            "postal_code": "832022314",
            "country_code": "US",
            "telephone_number": "208-238-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "CA",
            "license": "A186364",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "ID",
            "license": "6061870",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "FL",
            "license": "ME153559",
            "primary": true
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "LA",
            "license": "349189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.