Graduated: 2019
NPI: 1649739632
Practice Locations (3)
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
2801 NW 79TH AVE, JACKSON WEST ER
DORAL, FL 331221174
3055850417
EMERGENCY PROFESSIONALS OF INDIANA PC
275 W 12TH ST
PERU, IN 469701638
7654728000
DHHS PHS NAIHS CROWNPOINT HOSPITAL
JUNCTION OF HWY 371 NAVAJO RT 9
CROWNPOINT, NM 873130358
5057865291
Source: CMS National Downloadable File, September 2026.