YAIRALIZ RODRIGUEZ GONZALEZ
NPI 1104321348
General Practice in Lake Wales, FL
About Yairaliz Rodriguez Gonzalez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YAIRALIZ RODRIGUEZ GONZALEZ (NPI 1104321348) is an individual general practice provider in Lake Wales, Florida, licensed in Florida (ACN1500) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
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
Yairaliz Rodriguez Gonzalez 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.
Medicare Billing Reassignments
2Medicare enrollment records show Yairaliz Rodriguez Gonzalez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Davenport, FL 33837
- Reassigned Medicare billing, Florida enrollment
- 66 clinicians in this Medicare group
Bayamon, PR 00961
- Reassigned Medicare billing, Puerto Rico enrollment
- 28 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Yairaliz Rodriguez Gonzalez's NPI number?
The NPI number for Yairaliz Rodriguez Gonzalez is 1104321348. It was assigned to this individual provider in the NPPES registry on March 29, 2018.
Where is Yairaliz Rodriguez Gonzalez located?
Yairaliz Rodriguez Gonzalez practices at 684 State Road 60 W, Lake Wales, FL 33853. The listed phone number is (863) 949-4868.
What is Yairaliz Rodriguez Gonzalez's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Yairaliz Rodriguez Gonzalez enrolled in Medicare?
Yes. Yairaliz Rodriguez 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 Yairaliz Rodriguez Gonzalez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yairaliz Rodriguez Gonzalez reassigns Medicare benefits to 2 organizations: Medical Home Alliance LLC (Davenport, FL) and Community Health Foundation Of Puerto Rico, Inc. (Bayamon, PR). 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 Yairaliz Rodriguez Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Yairaliz Rodriguez Gonzalez accept?
Health plans from Florida Health Care Plans list Yairaliz Rodriguez Gonzalez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Yairaliz Rodriguez Gonzalez was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Yairaliz Rodriguez Gonzalez · NPI 1104321348
General Practice physician in Lake Wales, Florida. Individual provider, active in the CMS NPPES registry since March 29, 2018.
## Identity
- **NPI:** 1104321348 (Entity type: Individual)
- **Enumerated:** March 29, 2018
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** ACN1500 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 684 STATE ROAD 60 W, Lake Wales, FL 33853-4419
- **Phone:** (863) 949-4868
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Medical Home Alliance LLC (NPI 1740527811, Davenport, FL); Community Health Foundation Of Puerto Rico, Inc. (NPI 1114626991, Bayamon, PR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** February 12, 2026
- **Other identifiers:** Other 14673 (PR); Medicaid 22144 (PR)
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Source: [NPI Profile](https://npiprofile.com/npi/1104321348) · Data from the CMS NPPES public registry.