Medical school: UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Graduated: 1976
NPI: 1720063050
Practice Locations (3)
3 K-S9 VILLA FONTANA VIA MIRTA
CAROLINA, PR 00983
KS9 VIA MIRTA
CAROLINA, PR 00983
7877695016
VILLA FONTANA 3 KS 9 VIA MIRTA
CAROLINA, PR 00983
Source: CMS National Downloadable File, September 2026.