Graduated: 1999
NPI: 1144257569
Practice Locations (2)
CONVIVA MEDICAL CENTER MANAGEMENT, LLC
440 W 49TH ST
HIALEAH, FL 330123603
3058285000
CONVIVA MEDICAL CENTER MANAGEMENT, LLC
7500 SW 8TH ST
MIAMI, FL 331444400
3052659686
Source: CMS National Downloadable File, September 2026.