Individual provider Active NPI

Lislie Lisete Gonzalez Veitia, MD

  • Family Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1326664160
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
162806 Issued in FL
Practice address
9980 Central Park Blvd N Ste 126
Boca Raton, FL 33428-1703
Phone
(561) 369-7137
Fax
(561) 405-6265
NPI assigned
Jun 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 162806 FL Primary

Addresses

Primary practice location

9980 Central Park Blvd N Ste 126
Boca Raton, FL 33428-1703

Mailing address

9980 Central Park Blvd N Ste 126
Boca Raton, FL 33428-1703
Phone (561) 369-7137

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lislie.gonzalez.veitia.2@29601.direct.athenahealth.com

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
I20240605004178 FL Practitioner - Family Practice 8628510641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

9980 Central Park Blvd N
Suite 126
Boca Raton, FL 33428-1703
Phone (561) 369-7137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
162806FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Veitia Health PLLC Family Medicine Current Accepting new patients
Conviva Medical Center Management LLC Family Medicine CurrentSince Jul 1, 2024 Accepting new patients

Locations

9980 Central Park Blvd N
Ste 126
Boca Raton, FL 33428
Phone (561) 369-7137

5317 W Atlantic Ave
Delray Beach, FL 33484
Phone (561) 496-6000

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

6101 Blue Lagoon Dr
Miami, FL 33126

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1326664160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N STE 126",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281703",
            "telephone_number": "561-369-7137",
            "fax_number": "561-405-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N STE 126",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281703",
            "telephone_number": "561-369-7137",
            "fax_number": "561-405-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ VEITIA",
        "first_name": "LISLIE",
        "middle_name": "LISETE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "162806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lislie.gonzalez.veitia.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "9980 Central Park Blvd N Ste 126",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334281703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.