Ivette Cardona Ruelle, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN650 Issued in FL

Practice address

5901 Webb Road
Tampa, FL 33615

Phone

(813) 888-8215

Fax

(813) 885-5398

NPI assigned

Apr 25, 2008

Last updated

Mar 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Town and Country Medical Group, LLC.

  dba Revello Medical Center

  • Clinic/Center
  • Tampa, FL
  • NPI 1699940718
  Medicare reassignment NPD
• Athena Healthcare Inc.

  • Family Medicine Physician
  • Saint Cloud, FL
  • NPI 1972145530
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1356516827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 WEBB ROAD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33615",
            "telephone_number": "813-888-8215",
            "fax_number": "813-885-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 WEBB ROAD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33615",
            "telephone_number": "813-888-8215",
            "fax_number": "813-885-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA RUELLE",
        "first_name": "IVETTE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ACN650",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cardiovascular Institute of America PA
• Cardiovascular Mobile Ultrasound Inc
• Courtney M. Cardisco, CRNA
• Brandon Thomas Cardon, MD
• Zeida Cardona Jarrosay
• Marliria Cardona Sanchez, LMT
• Alex Cardona
• Jerges J Cardona, M.D.
• Jorge Isaac Cardona, DC
• Katia Cardona, M.S CF-SLP

• General Practice Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.