Graduated: 1989
NPI: 1033564554
Practice Locations (2)
CONVIVA MEDICAL CENTER MANAGEMENT, LLC
440 W 49TH ST
HIALEAH, FL 330123603
3058285000
CONVIVA MEDICAL CENTER MANAGEMENT, LLC
351 NW 42ND AVE, SUITE 503
MIAMI, FL 331265690
3054441244
Source: CMS National Downloadable File, September 2026.