Graduated: 2022
NPI: 1497492912
Practice Locations (2)
SAN MIGUEL HOSPITAL CORPORATION
108 LEGION DR
LAS VEGAS, NM 877014898
5054252662
SAN MIGUEL HOSPITAL CORPORATION
108 LEGION DR, SUITE A
LAS VEGAS, NM 877014898
5054252662
Source: CMS National Downloadable File, September 2026.