FELIX M GONZALEZ M.D.
NPI 1891011805
Radiology - Diagnostic Radiology in Atlanta, GA

Q: What is Felix Gonzalez's NPI number?

The NPI number for Felix Gonzalez is 1891011805. It was assigned to this individual provider in the NPPES registry on April 15, 2010.

Q: What is Felix Gonzalez's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Felix Gonzalez was last updated on July 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 15, 2010PECOS EnrolledAccepts Medicare Assignment

59 EXECUTIVE PARK S, ATLANTA, GA 30329(404) 778-6264 Get Directions Write a Review

NPPES record last updated: July 26, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Felix M Gonzalez M.d. NPPES

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

FELIX M GONZALEZ M.D. (NPI 1891011805) is an individual diagnostic radiology provider in Atlanta, Georgia, licensed in Maryland (D0071654) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Clinton.

NPPES Registry Identity

NPI1891011805

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameFELIX M GONZALEZCredential: M.D.

Location Address59 EXECUTIVE PARK SAtlanta, GA 30329-2208

Mailing Address4061 Powder Mill Rd, Suite 210Calverton, MD 20705-3149 · (202) 669-8501 · Fax (240) 846-1490

Phone(404) 778-6264

Sole ProprietorNo

Medical School CMSRutgers, Robert Woood Johnson Medical SchoolGraduated 2009

Enumeration DateApril 15, 2010

Last NPPES UpdateJuly 26, 2019

✔ NPI 1891011805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in MD · D0071654

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

59 EXECUTIVE PARK S, Atlanta, GA 30329

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Secondary Practice Location 1

Location 17503 Surratts Rd, Dept. of RadiologyClinton, MD 20735-3358 · Phone (301) 877-4772 · Fax (301) 877-3518

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Felix M Gonzalez M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032430632

PECOS Enrollment IDI20220813000181, I20221201001261

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Felix Gonzalez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Radiology Imaging At Lake Mary, LLC

390 mi

Diagnostic Radiology

960 RINEHART RD STE 1000
Lake Mary, FL 32746

Reassigned Medicare billing, Florida enrollment
433 clinicians in this Medicare group

NPI 1740256494 (855) 241-2455

Florida Hospital Medical Group Inc

402 mi

Diagnostic Radiology

601 E ROLLINS STREET
Orlando, FL 32803

Reassigned Medicare billing, Florida and Kentucky enrollments
428 clinicians in this Medicare group

NPI 1073785044 (407) 200-2355

Florida Hospital Medical Group Inc

404 mi

Family Medicine

1115 E RIDGEWOOD ST
Orlando, FL 32803

Reassigned Medicare billing, Florida enrollment
3,005 clinicians in this Medicare group

NPI 1225034234 (407) 841-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 68

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

3,032 services3,032 patients

Injection, gadoterate meglumine, 0.1 ml A9575

Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.

2,442 services17 patients

Dxa bone density measurement of hip, pelvis, spine 77080

1,471 services1,470 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

294 services292 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

244 services213 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

241 services227 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

231 services199 patients

Mri scan of leg joint without contrast 73721

204 services197 patients

X-ray of knee, 3 views 73562

203 services165 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

164 services164 patients

X-ray of knee, 1-2 views 73560

154 services122 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

118 services111 patients

Complete ultrasound scan behind abdominal cavity 76770

109 services109 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

105 services104 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

100 services100 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

97 services86 patients

Ct scan of leg without contrast 73700

A CT scan of the leg is a non-invasive imaging test that uses X-rays to capture detailed images of your leg's bones, muscles, and blood vessels. It doesn't use contrast dye and doesn't cause any pain. It helps in diagnosing injuries or diseases.

92 services90 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

89 services75 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

89 services89 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

86 services83 patients

Ultrasound scan of chest 76604

An ultrasound scan of the chest is a non-invasive imaging procedure that uses sound waves to create pictures of the structures within your chest, such as your heart and lungs. It's a safe, painless method that helps doctors diagnose and monitor various conditions.

82 services82 patients

Dxa bone density measurement of forearm, finger, hand, or foot 77081

A DXA bone density measurement of the forearm, finger, hand, or foot is a non-invasive procedure that uses X-rays to measure the amount of calcium and other minerals in your bones. This test helps to assess the strength of your bones and your risk of fractures.

81 services81 patients

Complete ultrasound scan of abdomen 76700

78 services77 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

75 services73 patients

X-ray of knee, 4 or more views 73564

69 services60 patients

X-ray of hand, minimum of 3 views 73130

67 services44 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

66 services63 patients

Limited ultrasound scan of abdomen 76705

66 services66 patients

Mri scan of arm joint without contrast 73221

58 services58 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

58 services53 patients

X-ray of thigh bone, minimum 2 views 73552

An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.

54 services54 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

54 services53 patients

X-ray of hip, 2-3 views 73502

49 services49 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

48 services48 patients

Calculation of trabecular bone score (tbs) using imaging data with interpretation and report on fracture risk 77089

Trabecular Bone Score (TBS) is a technique that uses imaging data to evaluate bone texture. It provides insight into bone strength, helping predict fracture risk. This information is then compiled into a report to aid in your bone health management.

48 services48 patients

Dxa bone density measurement of forearm, finger, hand, or foot 77081

47 services47 patients

Ct scan of leg without contrast 73700

46 services44 patients

X-ray of lower leg, 2 views 73590

An X-ray of the lower leg, 2 views, is a quick, painless test that produces images of the bones in your lower leg. It helps to identify fractures, infections, or diseases. Two different angles are used to provide a comprehensive view of the leg's structure.

45 services43 patients

X-ray of chest, 2 views 71046

43 services43 patients

X-ray of hand, 2 views 73120

An X-ray of the hand, 2 views, is a non-invasive imaging test that uses a small amount of radiation to produce pictures of the bones in your hand. Two different angles are captured to provide a comprehensive view. This helps in diagnosing injuries or conditions affecting your hand.

43 services29 patients

Limited ultrasound scan of joint or other extremity structure except blood vessels 76882

A limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.

39 services31 patients

X-ray of shoulder, minimum of 2 views 73030

37 services34 patients

X-ray of upper arm, minimum of 2 views 73060

An X-ray of the upper arm with a minimum of 2 views involves capturing images of your arm from different angles. This helps in assessing the bones and surrounding tissues for any abnormalities or injuries. It's a quick, painless procedure.

34 services34 patients

X-ray of elbow, minimum of 3 views 73080

An elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.

34 services33 patients

Ct scan of pelvis without contrast 72192

A CT scan of the pelvis without contrast is a non-invasive imaging test. It uses X-rays to create detailed pictures of your lower abdomen area. It helps in detecting issues like injuries, inflammation, or abnormal growths. It doesn't involve any dye injection.

32 services32 patients

X-ray of foot, minimum of 3 views 73630

29 services23 patients

X-ray of forearm, 2 views 73090

An X-ray of the forearm, 2 views, is a diagnostic procedure where two different pictures of your forearm are taken using a small amount of radiation. These images help doctors assess your bone health and identify any fractures, infections, or other abnormalities.

28 services27 patients

Limited ultrasound scan of joint or other extremity structure except blood vessels 76882

27 services22 patients

X-ray of ribs on side of body, minimum of 3 views 71101

This is a diagnostic procedure where a machine emits a small amount of radiation to capture images of your ribs from at least three different angles. It helps to identify issues like fractures or infections. It's a quick, painless process.

26 services26 patients

X-ray of hand, 2 views 73120

25 services20 patients

X-ray of foot, 2 views 73620

An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.

21 services20 patients

X-ray of wrist, minimum of 3 views 73110

19 services14 patients

Ct scan of arm without contrast 73200

A CT scan of the arm without contrast is a non-invasive imaging test. It uses X-ray technology to capture detailed images of your arm's structures. It doesn't involve any contrasting dye, hence, minimal preparation is required. It helps in diagnosing injuries or conditions affecting the arm.

19 services19 patients

Interpretation of trabecular bone score (tbs) and report on fracture risk 77092

The Trabecular Bone Score (TBS) is a tool that helps evaluate your bone health. It looks at the texture of your bones, which can indicate their strength. The results, combined with other tests, help assess your risk of future fractures.

19 services19 patients

X-ray of wrist, 2 views 73100

An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.

18 services16 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

17 services17 patients

X-ray of wrist, 2 views 73100

17 services11 patients

Mri scan of leg without contrast 73718

An MRI scan of the leg without contrast is a non-invasive imaging procedure. It uses a magnetic field and radio waves to create detailed images of the structures in your leg, such as bones, muscles, and blood vessels. No contrast dye is used.

17 services17 patients

Mri scan of leg joint before and after contrast 73723

An MRI scan of your leg joint involves using a magnetic field and radio waves to create detailed images of the structures within your joint. This process is done twice, once before and once after a contrast agent is injected. The contrast helps to highlight certain tissues for a clearer picture, aiding in diagnosis.

16 services15 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

15 services14 patients

Ct scan of arm without contrast 73200

14 services14 patients

X-ray of both knees while standing 73565

An X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.

14 services14 patients

X-ray of foot, 2 views 73620

14 services11 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

14 services14 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

13 services13 patients

Mri scan of lower spinal canal without contrast 72148

12 services12 patients

Ct scan of leg with contrast material 73701

A CT scan of the leg with contrast material is an imaging procedure. A special dye, the contrast material, is used to highlight certain areas, making them easier to see. This scan helps to detect issues like fractures, infections, or tumors in the leg.

12 services12 patients

Mri scan of leg before and after contrast 73720

An MRI scan of the leg involves using a magnetic field and radio waves to create detailed images of the structures within your leg. Initially, images are taken without a contrast agent. Then, a contrast agent is injected into your body to enhance the images, highlighting certain areas for closer examination.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

Adventhealth New Smyrna Beach

Acute Care Hospitals · New Smyrna Beach, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100014

Location401 Palmetto StNew Smyrna Beach, FL 32170 · Volusia County

Emergency services

Adventhealth Waterman

Acute Care Hospitals · Tavares, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100057

Location1000 Waterman WayTavares, FL 32778 · Lake County

Birthing friendly

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100068

Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County

Emergency services Birthing friendly

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number100363

Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30329 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN HIMES MED, ATC, OTC

Specialist

59 EXECUTIVE PARK S
ATLANTA, GA 30329

Dekalb County (404) 778-7137

DR. JEFFREY W. WEBB M.D.

Pediatrics (Sports Medicine)

59 EXECUTIVE PARK S
ATLANTA, GA 30329

Dekalb County (404) 778-7202

DI CUI

Physical Medicine & Rehabilitation

59 EXECUTIVE PARK S, #2000
ATLANTA, GA 30329

Dekalb County (404) 778-7138

MRS. KALEY RAE SPEROS LAMAS PA-C

Physician Assistant

59 EXECUTIVE PARK S, STE 3000
ATLANTA, GA 30329

Dekalb County (404) 778-6227

DR. WILLIAM HENRY HUFFMAN MD

Student in an Organized Health Care Education/Training Program

59 EXECUTIVE PARK S
ATLANTA, GA 30329

Dekalb County (404) 778-7777

REBECCA JANE BEDARD ATC

59 EXECUTIVE PARK S, SUITE 1000
ATLANTA, GA 30329

Dekalb County (404) 778-7137

THOMAS KAMARAD ATC

Specialist/Technologist (Athletic Trainer)

59 EXECUTIVE PARK S
ATLANTA, GA 30329

Dekalb County (404) 778-6330

DR. JACK ARTHUR TALSMA M.D.

Radiology (Diagnostic Radiology)

59 EXECUTIVE PARK S, 4TH FLOOR SUITE 4009
ATLANTA, GA 30329

Dekalb County (404) 778-5834

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 Felix Gonzalez's NPI number?

The NPI number for Felix Gonzalez is 1891011805. It was assigned to this individual provider in the NPPES registry on April 15, 2010.

Where is Felix Gonzalez located?

Felix Gonzalez practices at 59 Executive Park S, Atlanta, GA 30329. The listed phone number is (404) 778-6264.

What is Felix Gonzalez's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Felix Gonzalez enrolled in Medicare?

Yes. Felix Gonzalez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Felix Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Felix Gonzalez reassigns Medicare benefits to 3 organizations: Florida Radiology Imaging At Lake Mary, LLC (Lake Mary, FL), Florida Hospital Medical Group Inc (Orlando, FL) and Florida Hospital Medical Group Inc (Orlando, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Felix Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Felix Gonzalez affiliated with any hospitals?

According to CMS data, Felix Gonzalez is affiliated with Adventhealth Orlando, Adventhealth New Smyrna Beach, Adventhealth Waterman, Adventhealth Daytona Beach and Adventhealth Palm Coast Parkway.

When was this NPI record last updated?

The NPPES record for Felix Gonzalez was last updated on July 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.