Medical school: UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1528031036
Practice Locations (2)
1 /2 PONCE DE LEON AVE, SUITE 37
SAN JUAN, PR 00919
7877215102
PONCE DE LEON AVE, STOP 37 1/2
SAN JUAN, PR 00919
Source: CMS National Downloadable File, September 2026.