Provider Demographics
NPI:1720307093
Name:DR. MARCO R. PEREZ TORO PAIN GROUP, PSC
Entity Type:Organization
Organization Name:DR. MARCO R. PEREZ TORO PAIN GROUP, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MADELEINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-239-9994
Mailing Address - Street 1:48 CALLE CALISTEMON
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-3166
Mailing Address - Country:US
Mailing Address - Phone:787-239-9994
Mailing Address - Fax:787-993-5588
Practice Address - Street 1:EDIF. DR. ARTURO CADILLA
Practice Address - Street 2:100 PASEO SAN PABLO STE 403
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-993-5835
Practice Address - Fax:787-993-5588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-25
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16816174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty