Medical school: UNIVERSITY CENTRAL DEL CARIBE ESCUELA DE MEDICINA
Graduated: 1999
NPI: 1477554079
Practice Locations (1)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD, SUITE 700
BATON ROUGE, LA 708084300
2257652048
Source: CMS National Downloadable File, September 2026.