Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ismael Ruiz-De la Rosa I, MD

Individual provider General Practice Physician · NPI 1912130527

Dr. Ismael Ruiz-De la Rosa I, MD is a General Practice in Davenport, Florida. Qualified in 2007, 19 years ago. Practices with Medical Home Alliance, LLC, a 63-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
19
Licensed in
FL
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

181 Webb Dr Ste 475
Davenport, FL 33837-3964
Phone: (863) 419-1235
Fax: (863) 419-9525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN922 (FL)

Record details

NPI number1912130527
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 29, 2009
Last updated in NPPESMay 23, 2023
Certification dateMay 23, 2023

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Medical Home Alliance, Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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