Provider Demographics
NPI:1356379531
Name:PEREZ-BRAYFIELD, MARCOS (MD)
Entity type:Individual
Prefix:DR
First Name:MARCOS
Middle Name:
Last Name:PEREZ-BRAYFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2000 CARR 8177
Mailing Address - Street 2:STE 26 PMB 211
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-3733
Mailing Address - Country:US
Mailing Address - Phone:787-653-2224
Mailing Address - Fax:787-653-1538
Practice Address - Street 1:2000 CARR 8177
Practice Address - Street 2:STE 26 PMB 211
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-3733
Practice Address - Country:US
Practice Address - Phone:787-653-2224
Practice Address - Fax:787-653-1538
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2017-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL88970208800000X
PR16754208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL269043800Medicaid
FL269043800Medicaid