Individual provider Active NPI

Iridel B Gonzalez, ARNP

  • Pediatric Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1780170407
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
9456789 Issued in FL
Practice address
6080 Boynton Beach Blvd Ste 240
Boynton Beach, FL 33437-3586
Phone
(561) 509-5009
NPI assigned
Jul 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 9456789 FL Primary

Addresses

Primary practice location

6080 Boynton Beach Blvd Ste 240
Boynton Beach, FL 33437-3586

Mailing address

9310 Fontainebleau Blvd Apt A411
Miami, FL 33172-4661
Phone (786) 390-1533

Other practice location 1

13475 Southern Blvd Ste 202
Loxahatchee Groves, FL 33470-9234
Phone (561) 509-5009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9456789FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Pediatrics, LLC PastSince Oct 13, 2024 Accepting new patients
Palm Beach Pediatrics, LLC PastSince Nov 13, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: iridel.gonzalez.1@17796.direct.athenahealth.com

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1780170407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 FONTAINEBLEAU BLVD APT A411",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724661",
            "telephone_number": "786-390-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 BOYNTON BEACH BLVD STE 240",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373586",
            "telephone_number": "561-509-5009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13475 Southern Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Loxahatchee Groves",
            "state": "FL",
            "postal_code": "334709234",
            "country_code": "US",
            "telephone_number": "561-509-5009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "IRIDEL",
        "middle_name": "B",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "9456789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.