Dr. Lilliam E. Ayala Garcia was born in Puerto Rico, and graduated Magna Cum Laude in Biology from the University of Puerto Rico. She obtained her medical degree at the Universidad Autonoma de Guadalajara Medical School in Mexico. She completed her internship and residency in Internal Medicine at the Veterans Administration Hospital in San Juan, Puerto Rico, and subsequently completed her Rheumatology Fellowship training at University of Miami-Jackson Memorial Hospital. She is board-certified in Internal Medicine and Rheumatology, and has special interest in general rheumatology, inflammatory arthritis, and osteoporosis.