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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Dr. Ramirez was born in Bayamón, Puerto Rico, He earned a bachelor's degree in Industrial Microbiology at the University of Puerto Rico Mayaguez Campus, later he attended Universidad Iberoamericana in the Dominican Republic where he earned his Medical Doctorate, he then performed a Rotational internship in Manati Puerto Rico. He is a firm believer that patients educated on their conditions have the best outcomes. He just moved to Lakeland in April 2021; when he is not working he loves spending time learning new things and spending time with his wife and newborn daughter.

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 

Dr. Reyna Lajara-Morales Was born in Matagalpa, Nicaragua. She attended medical school at the East Central University (UCE) in the Dominican Republic, where she graduated with honors in 1996. She also attended Ponce Medical School, in Puerto Rico, where she received her masters degree in public Health (MPH). She completed her internship in Puerto Rico. Dr. Lajara is a member of the American Medical Board Association. Dr. Lajara has over 20 years of experience as a medical doctor. She has worked in Puerto RIco, Miami and Polk County since 2010 Throughout the years Dr. Lajara has been recognized for being a compassionate doctor and has given great care to all of her patients. Dr. Lajara is married and has 3 chi;ldren. Following his mothers footsteps, Dr. Lajara's Eldest son studied medicine and became a radiologist. Her middle child is a school teacher and has a degree in Psychology. Dr. Lajara's youngest son is currently in University studying law. Dr. Lajara loves spending time with her family

Rafael Otero, M.D.

Dr. Rafael Otero was born and raised in south Texas, ranked first in his high school class, before moving on to obtain his Bachelor's of Science in Biology at the University of Texas-Brownsville. He then graduated from the Universidad Autonoma de Guadalajara in 2018, while completing his clinical rotations in Chicago, Houston and Las Vegas. Most recently, he completed his Internal Medicine Residency training at the University of Texas - Rio Grande Valley School of Medicine in 2021 where he was also awarded the prestigious PGY3 Resident of the Year Award. Dr. Otero is excited to join Advanced Internal Medicine Care in Florida and continue to grow as a professional while serving the great city of Lakeland.