Active NPI
Daniel Gonzalez
- Dermatopathology (Pathology) Physician
- Coral Gables, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- ME153559
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A186364 | CA | MD | Dermatopathology (Pathology) Physician |
| ME153559 | FL | MD | Dermatopathology (Pathology) Physician |
| 349189 | LA | MD | Dermatopathology (Pathology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho Skin Institute LLC | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Precision Pathology Labs, LLC | Dermatopathology | Current | Accepting new patients |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Vitalmd Group Holding LLC | Current | Accepting new patients | |
| High Valley Dermatology & Dermatologic Surgery PLLC | Current | Accepting new patients | |
| Compass Dermatopathology, Inc. | Dermatopathology | Current | Accepting new patients |
| Stoddard & Bingham Medical of Twin Falls PLLC | Past | Accepting new patients | |
| Stoddard & Bingham Medical PLLC | Past | 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.
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- Dermatopathology (Pathology) Physician
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- NPI 1316881220
-
- Obstetrics & Gynecology Physician
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- NPI 1871572032
-
- MOHS-Micrographic Surgery Physician
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- NPI 1891025334
-
- Dermatology Physician
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- NPI 1437148996
-
- Dermatology Physician
- Chubbuck, ID
- NPI 1184375867
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Anatomic Pathology & Clinical Pathology Physician
- Pittsburgh, PA
- NPI 1245298652
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Clinical Medical Laboratory
- Port St Lucie, FL
- NPI 1477513323
-
dba Idaho Skin Institute of Twin Falls
- Dermatology Physician
- Twin Falls, ID
- NPI 1114691813
-
dba Idaho Skin Institute
- Dermatology Physician
- Burley, ID
- NPI 1457912107
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.