Juana Diaz's Leader in Vascular Care & Dialysis Access Management

Julio Antonio Peguero, MD

General Surgeon
Medical Director

Julio Antonio Peguero, MD is a board certified general surgeon specializing in dialysis access management and AVF creation. He is an Associate Professor at Ponce School of Medicine and is a member of the American College of Surgeons and the American Medical Association.

Dr. Peguero earned his medical degree from Universidad Autónoma de Guadalajara, in Jalisco, Mexico. He went on to complete an internship at Lincoln Hospital and Medical Health Center in Bronx, New York, and residency at Ponce Regional Hospital in Ponce, Puerto Rico. Dr. Peguero completed a fellowship at Cook County Hospital in Chicago, Illinois.

Cesar F. Hernandez-Arroyo, MD

Interventional Nephrologist

Cesar F. Hernandez-Arroyo, MD is an interventional nephrologist specializing in dialysis access management, including PD and pAVF creation. Dr. Hernandez-Arroyo was the first physician in Puerto Rico and in Latin America to place an endovascular fistula with ultrasound.

Dr. Hernandez-Arroyo earned his medical degree from San Juan Bautista School of Medicine, in Caguas, Puerto Rico. He went on to complete an internship and residency at Universidad Central del Caribe, Department of Internal Medicine, in Bayamon, Puerto Rico. Cesar F. Hernandez-Arroyo, MD completed his fellowship at Ochsner Medical Center, Department of Nephrology and Hypertension in New Orleans, Louisiana and an interventional nephrology fellowship in Madison, Wisconsin. In 2011, he was awarded Outstanding Academic Performance in Surgery at the San Juan Bautista School of Medicine for excelling above other classmates in surgery clerkship during school.

Dr. Cesar F. Hernandez-Arroyo treats patients at Azura Vascular Care of Puerto Rico.

Carlos M. Claudio-Rodriguez, MD

Interventional Nephrologist

Carlos M. Claudio-Rodriguez, MD is an interventional nephrologist specializing in dialysis access management, including PD and pAVF creation.

Dr. Claudio-Rodriguez earned his medical degree from Ponce School of Medicine Puerto Rico. He went on to complete an internship at Auxilio Mutuo Hospital in San Juan, Puerto Rico and residency at San Juan City Hospital, in San Juan, Puerto Rico. He completed his fellowship at the University of New Mexico, in Albuquerque, New Mexico. Dr. Carlos M. Claudio-Rodriguez treats patients at Azura Vascular Care of Puerto Rico.