We are committed to providing comprehensive, high-quality and affordable medical treatment for adults. With sensitivity and compassion, we work with our patients to promote good health and wellness in a professional and caring environment.

Our focus on excellence, integrity, and quality health care means you will always be treated with respect and receive the personalized attention you deserve. Our team prides itself on delivering state-of-the-art services combined with our unique, collaborative health care approach.

Together we can achieve optimal health and well-being. We know the best path toward wellness involves you. We look forward to working together in providing you with expert medical treatment, guidance and care.  


Meet our Providers

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Dario F. Cardona, M.D.

Dr. Cardona attended the Brooklyn Hospital Center in New York obtaining his degree in internal medicine in 2007. He is Board Certified in Internal Medicine by the Board of Internal Medicine, he found through his experience that practice medicine is not only to apply knowledge and concepts to diseases; he feels he has a gift to help others to improve their quality of life. He loves to spend time with his wife and two sons.

Vivian Virella Guzman, M.D.

Dr. Vivian Virella was born in San Juan, Puerto Rico. Daughter of a Dominican father and a Puerto Rican mother. Raised at Dominican Republic. She attended Colegio Dominicano De La Salle and she Graduated from High School in Science and Letters. She earned her MD at INTEC University Magna Cum Laude in Dominican Republic. Dr. Virella has been practicing medicine since 2004 for the last eleven years, at San Juan, Puerto Rico’s  emergency room, OB-Gyn and General Medicine Group. She made Lakeland her home in 2014. She enjoys reading, cross fit and spending quality time with her husband, son

and her little dog. 

Luis Garcia-Rivera, M.D. MPH 

Dr. Luis Garcia was born in Sabana Grande, Puerto Rico; he is a graduate of San Juan Bautista School of Medicine in Caguas, Puerto Rico.  graduating with honors in 1998. Dr. Garcia completed his internship in general medicine at Hospital La Conception in san German, Puerto Rico. Dr. Garcia also has a Master in public health at the University of Puerto Rico, Medical Science Campus having more than 18 years of diverse experience, especially in General Practice, Dr.. Garcia has been working since March 2015 at Advanced Internal Medicine care in Lakeland Florida. He is well committed to the diagnosis treatment of illness and with the health promotion and education of all his patients. Dr Luis Garcia love to spend his time with his wife and children.

Lionel Ramirez Rivera, MD. 
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Leiden E. González Pimentel, M.D. 

Dr. González was born in Mayaguez Puerto Rico.  His passion for medicine, which he got from his father and uncles and aunt, got him through medical school which he finished at Universidad Iberoamericana del Caribe in Santo Domingo.  He completed his Internship at Hospital Cayetano Coll y Toste in Puerto Rico.  He opened his medical office in Hatillo Puerto Rico where he indeed realized that he was in the right field he had chosen.  Dr. González recently moved to Florida State specifically Lakeland where he has created a special bond between him and his patients. He is happily married and they have 2 handsome sons and enjoy life as they live day by day.

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Reyna I. Lajara M.D. MPH