Bachelor in pre-medical, University Puerto Rico, 1984. Doctor of Medicine, Ponce School Medicine, Puerto Rico, 1988. Master of Business Administration, University Hartford, Connecticut, 1999.
Certified in advanced pelvic endoscopy laser, University Florida (Gainesville) School Maine, 1991. Certified in advanced hysteroscopic surgery, St. Francis Hospital Medical Center, Hartford, 1993. Certified laparoscopic vaginal hysterectomy, St. Raphael's Hospital, 1993.
Certified colposcopic, laparoscopic, and hysteroscopic surgery, The Graduate School, Philadelphia, Pena., 1994.
Resident in obstetrics-gynecology Mount Sinai Hosp, Hartford, Connecticut, 1988-1991, chief resident in obstetrics-gynecology, 1991-1992. Assistant director St. Francis Hospital Medical Center, 1995-1999. Resident site director in obstetrics-gynecology Mount Sinai Hospital, 1995-1996.
Assistant attending physician St. Francis Hospital and Medical Center, 1995-1996. Assistant clinical professor University Connecticut School Medical, Farmington, since 1996. Director gynecological endoscopy education St. Francis Hospital Medical Center, Hartford, 1997-1999.
Commissioner Connecticut Department Public Health, 1999—2003. Deputy director Pan American Health Organization (PAHO). Senior vice president, senior medical advisory Maximus Federal Services.
Assistant secretary for health United States Department Health & Human Services, Washington, 2008—2009. President, dean Ponce School of Medicine, Ponce, Puerto Rico, since 2009.
Board directors Catholic Families Services Capital Region. Member Catholic Charities. Fellow American College Ob-Gyn.
Member American Medical Association, Hartford County Medical Society, Greater Hartford Ob-Gyn Society, American Society Reproductive Medical, International Pelvic Pain Society, American Institute Ultrasound in Medical, Society Pelvic Reconstructive Surgeons, American Association Gynecological Laparoscopists, Society Laparoscopic and Endoscopic Surgeons.
Married Ingrid Grafals. Children: Joshua, Kristen.