Medical school: SAN JUAN BAUTISTA SCHOOL OF MEDICINE
Graduated: 2017
Offers telehealth
NPI: 1417482043
Practice Locations (1)
CONVIVA MEDICAL CENTER MANAGEMENT, LLC
20 CYPRESS POINT PKWY, SUITE 1
PALM COAST, FL 321647528
3865867005
Source: CMS National Downloadable File, September 2026.