Medical school: UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Graduated: 1975
NPI: 1619930682
Practice Locations (2)
1801 AVE PONCE DE LEON, SUITE 302
SAN JUAN, PR 009091917
7877270060
SANTURCE MEDICAL MALL 302 AVE PONCE DE LEON
Santurce, PR 009091917
Source: CMS National Downloadable File, September 2026.