Individual provider Active NPI

Gonzalo Fabio Quesada, M.D

  • Psychiatry Physician
  • Miami Lakes, FL
National Provider Identifier
1649484122
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME84185 Issued in FL
Practice address
4715 NW 157TH St
Miami Lakes, FL 33014-6435
Phone
(305) 416-8811
Fax
(844) 388-6139
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME84185 FL Primary

Addresses

Primary practice location

4715 NW 157TH St
Miami Lakes, FL 33014-6435

Mailing address

1661 West Ave Ste 398505
Miami Beach, FL 33139-2336
Phone (305) 416-8811

Other practice location 1

2000 S Dixie Hwy Ste 103
Miami, FL 33133-2455
Phone (305) 416-8811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080906000197 FL Practitioner - PsychiatryPractitioner - Addiction Medicine 0941376412

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1649484122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 WEST AVE STE 398505",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392336",
            "telephone_number": "305-416-8811",
            "fax_number": "844-388-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 NW 157TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146435",
            "telephone_number": "305-416-8811",
            "fax_number": "844-388-6139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 S Dixie Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331332455",
            "country_code": "US",
            "telephone_number": "305-416-8811",
            "fax_number": "844-388-6139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUESADA",
        "first_name": "GONZALO",
        "middle_name": "FABIO",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME84185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.