Medical school: PONCE SCHOOL OF MEDICINE
Graduated: 2017
NPI: 1396232591
Practice Locations (2)
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
1040 NW 22ND AVE, SUITE 168
PORTLAND, OR 972103036
5034137022
91 CALLE UN
PONCE, PR 007303749
7874606568
Source: CMS National Downloadable File, September 2026.