Individual provider Active NPI

Jerry Ramos Rodriguez, M.D.

  • General Practice Physician
  • Lakeland, FL
National Provider Identifier
1588706600
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN733 Issued in FL
Practice address
600 El Paseo
Lakeland, FL 33805-4521
Phone
(863) 866-8052
NPI assigned
Feb 13, 2007
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN733 FL Primary
General Practice Physician 208D00000X 12073 PR

Addresses

Primary practice location

600 El Paseo
Lakeland, FL 33805-4521

Mailing address

101 Lake Ave Apt 1803
Orlando, FL 32801-3033
Phone (787) 392-1051

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jerry.ramos.rodriguez.2@29601.direct.athenahealth.com
Direct Messaging Address jerry.ramos.rodriguez.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121113000745 PR Practitioner - General Practice 4688825938 Reassigns benefits to 1 organization
Practice locations: Guayama, PR
I20151208002977 FL Practitioner - General Practice 4688825938 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

600 El Paseo
Lakeland, FL 33805-4521
Phone (863) 619-5999

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Healthcare Associates, Inc CurrentSince Dec 7, 2015 Accepting new patients
Conviva Medical Center Management LLC General Practice CurrentSince Sep 25, 2023 Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince Jul 26, 2012 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jul 26, 2012 Accepting new patients
Essential Medicine Inc, General Practice Past Accepting new patients

Locations

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

308 W Bass St
Kissimmee, FL 34741
Phone (407) 483-8801

600 El Paseo
Lakeland, FL 33805
Phone (863) 619-5999

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

431 N Semoran Blvd
Orlando, FL 32807
Phone (407) 894-5054

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jerry.ramos.rodriguez.2@29601.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1588706600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LAKE AVE APT 1803",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013033",
            "telephone_number": "787-392-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EL PASEO",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054521",
            "telephone_number": "863-866-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS RODRIGUEZ",
        "first_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN733",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jerry.ramos.rodriguez.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "jerry.ramos.rodriguez.2@29601.direct.athenahealth.com",
            "address_1": "600 El Paseo",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338054521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jerry.ramos.rodriguez.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "jerry.ramos.rodriguez.1@29601.direct.athenahealth.com",
            "address_1": "600 El Paseo",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338054521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.