Medical school: UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Graduated: 2004
Also: PATHOLOGY
NPI: 1083818884
Practice Locations (3)
OLIVER STREET 5.01(A) INC
112 N GRAND AVE
OKMULGEE, OK 744474027
5396670810
OLIVER STREET 5.01(A) INC
1329 S SANGRE RD, US DERMATOLOGY PARTNERS
STILLWATER, OK 740741854
4055333376
OLIVER STREET 5.01(A) INC
1367 DOMINION PLZ
TYLER, TX 757031013
9035346200
Source: CMS National Downloadable File, September 2026.