Graduated: 2005
NPI: 1174591127
Practice Locations (2)
UNIVERSITY OF MIAMI
1475 NW 12TH AVE
MIAMI, FL 331361002
3056898648
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
1611 NW 12 AVE
MIAMI, FL 331361005
3055851111
Source: CMS National Downloadable File, September 2026.