Healthcare Provider Details

I. General information

NPI: 1720307093
Provider Name (Legal Business Name): DR. MARCO R. PEREZ TORO PAIN GROUP, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2010
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EDIF. DR. ARTURO CADILLA 100 PASEO SAN PABLO STE 403
BAYAMON PR
00961
US

IV. Provider business mailing address

121 CALLE WASHINGTONIA
GUAYNABO PR
00969-5815
US

V. Phone/Fax

Practice location:
  • Phone: 787-993-5835
  • Fax: 787-993-5588
Mailing address:
  • Phone: 787-239-9994
  • Fax: 787-993-5588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number16816
License Number StatePR

VIII. Authorized Official

Name: MRS. MADELEINE PEREZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 787-239-9994