Graduated: 1993
NPI: 1881670693
Practice Locations (2)
10 CALLE UN E, SUITE 108
FAJARDO, PR 007384822
7878605450
10 CALLE UNION ESQ CELIS AGUILERA, FAJARDO MEDICAL PLAZA SUITE 108
FAJARDO, PR 007384822
Source: CMS National Downloadable File, September 2026.