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

Dr. Jerry Ramos Rodriguez, MD

Individual provider General Practice Physician · NPI 1588706600

Dr. Jerry Ramos Rodriguez, MD is a General Practice in Lakeland, Florida. Qualified in 1994, 32 years ago. Practices with Conviva Medical Center Management, LLC, a 562-clinician group and accepts Medicare assignment. Licensed in Florida and Puerto Rico.

Years since qualifying
32
Licensed in
FL, PR
In the registry since
2007
Specialties on file
2
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

600 El Paseo
Lakeland, FL 33805-4521
Phone: (863) 866-8052
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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 ACN733 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 12073 (PR)

Record details

NPI number1588706600
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 13, 2007
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Conviva Medical Center Management, Llc — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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