Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Yairaliz Rodriguez Gonzalez

Individual provider General Practice Physician · NPI 1104321348

Yairaliz Rodriguez Gonzalez is a General Practice in Lake Wales, Florida. Qualified in 2017, 9 years ago. Practices with Medical Home Alliance, LLC, a 63-clinician group and accepts Medicare assignment. Licensed in Florida and Puerto Rico.

Years since qualifying
9
Licensed in
FL, PR
In the registry since
2018
Specialties on file
2

Practice location Address checks out

684 State Road 60 W
Lake Wales, FL 33853-4419
Phone: (863) 949-4868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN1500 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 22144 (PR)

Record details

NPI number1104321348
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 29, 2018
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Medical Home Alliance, Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Wales