Medical school: UNIVERSITY OF PUERTO RICO SCHOOL OF DENTISTRY
Graduated: 2012
NPI: 1720765506
Practice Locations (2)
REVITALIZE HEALTH CENTER LLC
5285 SUMMERLIN RD, SUITE 101
FORT MYERS, FL 339197601
2392916633
PRIME LIFE HEALTH LLC
3411 W TAMPA BAY BLVD
TAMPA, FL 336076619
8138741509
Source: CMS National Downloadable File, September 2026.