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MRS. DIANE LOO GONZALEZ APRN
NPI 1104539121
Dermatology in Coral Gables, FL

Active since January 04, 2023Opted out of Medicare · through Jun 18, 2028
3232 CORAL WAY APT 114, CORAL GABLES, FL 33145(305) 975-5670 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Diane Loo Gonzalez Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DIANE LOO GONZALEZ APRN (NPI 1104539121) is an individual dermatology provider in Coral Gables, Florida, licensed in Florida (APRN11022468) and active in the NPI registry since January 2023. She has opted out of Medicare through June 18, 2028.

NPPES Registry Identity

NPI1104539121
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMRS. DIANE LOO GONZALEZCredential: APRN
Location Address3232 CORAL WAY APT 114Coral Gables, FL 33145-3185
Mailing Address3232 Coral Way Apt 114Coral Gables, FL 33145-3185 · (305) 975-5670
Phone(305) 975-5670
Sole ProprietorYes
Enumeration DateJanuary 4, 2023
NPPES CertifiedJuly 27, 2022
✔ NPI 1104539121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in FL · APRN11022468
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3232 CORAL WAY APT 114, Coral Gables, FL 33145
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Diane Loo Gonzalez Aprn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 18, 2024 through June 18, 2028.

Opt-Out Effective DateJune 18, 2024
Opt-Out In Effect ThroughJune 18, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33145 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Gonzalez's NPI number?

The NPI number for Diane Gonzalez is 1104539121. It was assigned to this individual provider in the NPPES registry on January 4, 2023.

Where is Diane Gonzalez located?

Diane Gonzalez practices at 3232 Coral Way Apt 114, Coral Gables, FL 33145. The listed phone number is (305) 975-5670.

What is Diane Gonzalez's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Diane Gonzalez enrolled in Medicare?

No. Diane Gonzalez has opted out of Medicare through June 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Diane Gonzalez was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.