Medical school: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1578657706
Practice Locations (2)
PUEBLO OF ISLETA
01 SAGEBRUSH ST
ALBUQUERQUE, NM 871050001
PUEBLO OF ISLETA
1 SAGEBRUSH ST SW
ALBUQUERQUE, NM 871053942
5058694463
Source: CMS National Downloadable File, September 2026.