Porras, MD practices psychiatry at 158 C Avenue in Coronado as an Assistant Clinical Professor in the UCSD Department of Psychiatry, board-certified in geriatric psychiatry with fellowship training completed at UC San Diego Medical Center in 2001. The University of Texas Medical Branch graduate's scope covers psychopharmacology, forensic psychiatry, and geriatric cognitive assessment, and medication protocols coordinate with Coronado Island primary-care physicians such as Kenneth A. Warm, MD at SharpCare Coronado when polypharmacy evaluations require cross-specialty input. Spanish-language fluency expands access for bilingual families and active-duty personnel on Coronado Island who need psychiatric evaluation without an interpreter. Psychotropic prescriptions and geriatric medication adjustments fill at Sharp Coronado Community Pharmacy & Travel Clinic within the 92118 ZIP, keeping the prescribing-dispensing loop on the island. The geriatric-psychiatry caseload includes neurocognitive screening with MMSE and MoCA instruments, capacity evaluations, and psychotropic titration schedules calibrated to age-related pharmacokinetic changes in hepatic and renal clearance.