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San Miguel Community Wellness Center

Meet Your Care Team

Dr. Tamara Guerra Alfonso, MD

Dr. Tamara Guerra Alfonso, MD

Dr. Tamara Guerra Alfonso, MD

Dr. Tamara Guerra Alfonso received her medical degree from Instituto Superior de Ciencias Medicinas de Villa Clara and has been in practice for more than 20 years. Dr. Tamara Guerra Alfonso has expertise in treating bipolar disorder, depression, among other conditions. She helps patients of all ages get back to feeling their best as soon as possible.

Juan Peralbo Perez, PMHNP-BC

Dr. Tamara Guerra Alfonso, MD

Dr. Tamara Guerra Alfonso, MD

Juan Peralbo Perez is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with a strong commitment to compassionate, culturally sensitive care. Originally trained and practiced as a medical doctor in Cuba, he brings a deep respect for the human experience behind every diagnosis. Now based in the U.S., he specializes in 

Juan Peralbo Perez is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with a strong commitment to compassionate, culturally sensitive care. Originally trained and practiced as a medical doctor in Cuba, he brings a deep respect for the human experience behind every diagnosis. Now based in the U.S., he specializes in evidence-based treatment for anxiety, depression, trauma, and other mental health challenges. Known for his empathetic, collaborative approach, he partners with each client to create personalized treatment plans that honor their goals, values, and unique life story.

Arturo Dominguez, LMHC

Dr. Tamara Guerra Alfonso, MD

Arturo Dominguez, LMHC

Arturo Dominguez  is a Licensed Mental Health Counselor with over 25 years of experience in the mental health field. He originally trained and practiced as a psychiatrist in Cuba before obtaining his LMHC license in the United States in 2016. His integrative therapeutic approach draws from CBT, DBT, solution-focused therapy, person-center

Arturo Dominguez  is a Licensed Mental Health Counselor with over 25 years of experience in the mental health field. He originally trained and practiced as a psychiatrist in Cuba before obtaining his LMHC license in the United States in 2016. His integrative therapeutic approach draws from CBT, DBT, solution-focused therapy, person-centered care, and systemic psychotherapy. He is dedicated to helping clients improve emotional well-being, build coping and communication skills, and achieve personal growth. In each session, clients can expect a supportive, goal-oriented space focused on healing and self-development.

Alicia Laudo, LMHC

Dr. Tamara Guerra Alfonso, MD

Arturo Dominguez, LMHC

Alicia Laudo is a Licensed Mental Health Therapist and Board-Certified Behavior Analyst with over 12 years of experience working with children, adults, and the geriatric population. She provides compassionate, goal-oriented support for individuals navigating depression, anxiety, self-esteem issues, family challenges, and life transitions.

Alicia Laudo is a Licensed Mental Health Therapist and Board-Certified Behavior Analyst with over 12 years of experience working with children, adults, and the geriatric population. She provides compassionate, goal-oriented support for individuals navigating depression, anxiety, self-esteem issues, family challenges, and life transitions. She also has extensive experience working with individuals with disabilities, neurodivergent clients, and their caregivers. Her therapeutic approach is centered on self-discovery, healing, and helping each client build meaningful, lasting change.


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