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Rafael is originally from Canóvanas, Puerto Rico: a small town in the northeast side of the island. He completed premedical courses at the University of Michigan in Ann Arbor with honors and then transferred back to PR to complete his bachelor’s degree in General Sciences.  He graduated Magna Cum Laude, from the University of Puerto Rico in 2004.  He completed medical school at the University of Puerto Rico Medical Sciences Campus in 2008. He then went on to complete his internal medicine training at the Puerto Rico Medical Center in San Juan, in 2011. He was awarded first place in the UPR internal medicine research symposium, for his senior year presentation in lung cancer. He was selected to be Chief Resident for the IM program from 2011-12. Rafael started his fellowship in Pulmonary and Critical Care Medicine at The Ohio State University in 2012.

Rafael is ABIM certified in Internal Medicine. His clinical interests include COPD, Hypoxemia, Bronchology and procedure training.

Rafael currently lives in Hilliard, Ohio. His hobbies include movies, golf and boating.


Doug is originally from Yorkville, Ohio. He graduated magna cum laude from Capital University in 2005 with a Bachelors of Arts in biological sciences. He attended medical school at Wright State University Boonshoft School of Medicine. He first came to The Ohio State University Wexner Medical Center in 2009 for his Internal Medicine residency. He received the House Staff Award for Excellence in Critical Care Medicine in his final year of training. Doug started his fellowship in Pulmonary/Critical Care in 2012.

Doug is board certified in Internal Medicine. His current research interests include alpha-1 antitrypsin deficiency, sarcoidosis, and idiopathic pulmonary fibrosis.

Doug currently lives in Grove City with his wife, Jenn. They recently welcomed their first child, Sophia, in April 2014. His dog, Cooper, is very jealous of her. His hobbies include movies, swimming, biking, and running. He recently completed his third sprint triathlon in June 2014.