Active NPI
Felix Armando Gonzalez-Quevedo, PA-C
- Surgical Physician Assistant
- Fort Lauderdale, FL
National Provider Identifier
1871501981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA 9100805
- Practice address
- 6550 N Federal Hwy
Suite 512
Ft Lauderdale, FL 33308-1404 - Phone
- (954) 267-8777
- Fax
- (954) 772-7801
- NPI assigned
- Aug 4, 2006
- Last updated
- Mar 9, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA 9100805 | FL | Primary |
Addresses
Primary practice location
6550 N Federal Hwy
Suite 512
Ft Lauderdale, FL 33308-1404
Mailing address
8940 SW 67TH Ave
Pinecrest, FL 33156-1708
Phone (305) 215-9033
Other practice location 1
3659 S Miami Ave Ste 4002
Miami, FL 33133-4231
Phone (305) 393-8810
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2930137 00 | Medicaid | FL | |
| U1096Y | Other | FL | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9100805 | FL | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1871501981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8940 SW 67TH AVE",
"city": "PINECREST",
"state": "FL",
"postal_code": "331561708",
"telephone_number": "305-215-9033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 N FEDERAL HWY",
"address_2": "SUITE 512",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333081404",
"telephone_number": "954-267-8777",
"fax_number": "954-772-7801"
}
],
"practiceLocations": [
{
"address_1": "3659 S Miami Ave Ste 4002",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331334231",
"country_code": "US",
"telephone_number": "305-393-8810",
"fax_number": "305-393-8811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ-QUEVEDO",
"first_name": "FELIX",
"middle_name": "ARMANDO",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA 9100805",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2930137 00",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "U1096Y",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.