Provider Demographics
NPI:1902487770
Name:DRAIN, BRIGHID NATASHA (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIGHID
Middle Name:NATASHA
Last Name:DRAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:K36 CALLE 6
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-3029
Mailing Address - Country:US
Mailing Address - Phone:787-975-0930
Mailing Address - Fax:
Practice Address - Street 1:735 AVE PONCE DE LEON STE 616
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-5029
Practice Address - Country:US
Practice Address - Phone:787-751-7474
Practice Address - Fax:787-759-3776
Is Sole Proprietor?:No
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22223207Q00000X
PR022223207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine