Medical school: PONCE SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1093704348
Practice Locations (2)
1211 SE 2ND AVE
FORT LAUDERDALE, FL 333161807
9545228688
4725 N FED HWY
FT. LAUDERDALE, FL 333084603
9544925723
Source: CMS National Downloadable File, September 2026.