Graduated: 2022
NPI: 1699480434
Practice Locations (2)
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
1611 NW 12 AVE
MIAMI, FL 331361005
3055851111
SOUTH MIAMI INPATIENT PHYSICIANS
6200 SW 73RD ST, BOX 69
MIAMI, FL 331434679
7866624000
Source: CMS National Downloadable File, September 2026.