Medical school: UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1023080744
Practice Locations (1)
ACTIVE LIFE PHYSICAL MEDICINE AND PAIN CENTER PLLC
15547 N REEMS RD, BLDG A
SURPRISE, AZ 853749583
6235359777
Source: CMS National Downloadable File, September 2026.