Medical school: UNIVERSITY OF PUERTO RICO SCHOOL OF DENTISTRY
Graduated: 2008
NPI: 1306001045
Practice Locations (2)
STONY BROOK UNIVERSITY SDM RM, 170 SULLIVAN HL
STONY BROOK, NY 117948705
SULLIVAN HL, RM 170
STONY BROOK, NY 117948705
6316328971
Source: CMS National Downloadable File, September 2026.