Medical school: PONCE SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1235270950
Practice Locations (2)
200 CALLE DR VIDAL
HUMACAO, PR 007914286
8008815101
AVE PONCE DE LEON, PARADA 37 1/2
SAN JUAN, PR 009191227
7877582000
Source: CMS National Downloadable File, September 2026.