Medical school: UNIVERSITY OF PUERTO RICO SCHOOL OF DENTISTRY
Graduated: 2021
NPI: 1093488330
Practice Locations (2)
8145 CEREBELLUM WAY, SUITE 102
TRINITY, FL 346551788
394 HALF MOON CT
BOSSIER CITY, LA 711115569
Source: CMS National Downloadable File, September 2026.