Yairaliz Rodriguez Gonzalez

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN1500 Issued in FL

Practice address

684 State Road 60 W
Lake Wales, FL 33853-4419

Phone

(863) 949-4868

NPI assigned

Mar 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PR, FL2 enrollments

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 2

Specialty

General Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Home Alliance, LLCGroup PAC ID 6406096536, 60 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yairaliz.rodriguezgonzalez@wwmp.eclinicaldirectplus.com

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.

• Medical Home Alliance LLC

  • Internal Medicine Physician
  • Davenport, FL
  • NPI 1740527811
  Medicare reassignment Care Compare group NPD
• Community Health Foundation of Puerto Rico, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bayamon, PR
  • NPI 1881016020

  General Practice

  Medicare reassignment NPD
• Guidewell Sanitas I, LLC

  dba Clinisanitas

  • Family Medicine Physician
  • Doral, FL
  • NPI 1396124046
  NPD
• Medical Home Alliance LLC

  dba IMA Medical Group - Lake Wales

  • Internal Medicine Physician
  • Lake Wales, FL
  • NPI 1417622853
  NPD
• Community Health Foundation of Puerto Rico, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bayamon, PR
  • NPI 1114626991
  NPD

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1104321348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 STATE ROAD 60 W",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534419",
            "telephone_number": "863-949-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 STATE ROAD 60 W",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534419",
            "telephone_number": "863-949-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ GONZALEZ",
        "first_name": "YAIRALIZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22144",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMC",
            "identifier": "14673",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22144",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hecmary Rivera Serrano
• Irenes Rivera, BIRTH DOULA
• Jonathon Rivera, D.M.D.
• Anabel Karine Rivero, APRN
• Lottie Robinson
• Arianna Rodriguez
• Sarah Rodriguez
• John Roth, PHARMD
• Shanna Lee Rowe, M.A., CCC-SLP
• Bethany K Rowlings

• General Practice Physician in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.

Verify at the official NPI Registry.