Individual provider Active NPI

Maribel Del Carmen Rodriguez Gonzalez, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Delray Beach, FL
National Provider Identifier
1619499597
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
ME155734 Issued in FL
Practice address
14826 S Military TRL # 14826
Delray Beach, FL 33484-8153
Phone
(561) 496-5677
Fax
(855) 446-4546
NPI assigned
Jul 12, 2017
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21708 PR
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME155734 FL Primary
General Practice Physician 208D00000X 33029-R PR

Addresses

Primary practice location

14826 S Military TRL # 14826
Delray Beach, FL 33484-8153

Mailing address

14826 S Military TRL # 14826
Delray Beach, FL 33484-8153
Phone (305) 500-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maribel.rodriguez.gonzalez.1@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
I20220601000301 FL Practitioner - Family Practice 9133537194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
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)

14826 S Military TRL
Suite 14826
Delray Beach, FL 33484-8153
Phone (561) 496-5677

2015 Ocean Dr
Suite 11
Boynton Beach, FL 33426-5131
Phone (561) 364-8056

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21708PRMDFamily Medicine Physician
33029-RPRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC Family Medicine CurrentSince Jul 18, 2022 Accepting new patients

Locations

601 N Congress Ave
Ste 403
Delray Beach, FL 33445
Phone (561) 272-1618

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

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

6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114

Interoperability endpoints

  • Direct secure messaging: maribel.rodriguez.gonzalez.1@29601.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1619499597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14826 S MILITARY TRL # 14826",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848153",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14826 S MILITARY TRL # 14826",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848153",
            "telephone_number": "561-496-5677",
            "fax_number": "855-446-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ GONZALEZ",
        "first_name": "MARIBEL",
        "middle_name": "DEL CARMEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "21708",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME155734",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "33029-R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maribel.rodriguez.gonzalez.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "14826 S Military Trl # 14826",
            "city": "Delray Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334848153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.