Graduated: 1986
NPI: 1619017761
Practice Locations (2)
URB VILLA CAROLINA 4TA EXT, 139 10 CALLE 401
CAROLINA, PR 009854014
7877695842
LB 18 VIA MALLORCA L'ANTIGUA, ENCANTADA
TRUJILLO ALTO, PR 009766101
Source: CMS National Downloadable File, September 2026.