Medical school: PONCE SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1972549970
Practice Locations (2)
HOSPITAL PHYSICIAN SERVICES - SOUTHEAST PROFESSIONAL CORPORATION
288 S RIDGECREST AVE
RUTHERFORDTON, NC 281392838
8282865000
MUSC COMMUNITY PHYSICIANS
3000 SAINT MATTHEWS RD
ORANGEBURG, SC 291181442
8033953400
Source: CMS National Downloadable File, September 2026.