Individual provider Active NPI

Ricardo H Brau, M.D.

  • Neurological Surgery Physician
  • San Juan, PR
National Provider Identifier
1114939949
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
5917 Issued in PR
Practice address
400 Ave FD Roosevelt
Suite 511
San Juan, PR 00918-2103
Phone
(787) 763-1310
Fax
(787) 766-7607
NPI assigned
Aug 12, 2006
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 5917 PR Primary

Addresses

Primary practice location

400 Ave FD Roosevelt
Suite 511
San Juan, PR 00918-2103

Mailing address

400 FD Roosevelt Avenue
Suite 511
San Juan, PR 00918-2132
Phone (787) 763-1310

Other identifiers 2

IdentifierTypeStateIssuer
5917OtherPRSTATE LICENSE
7504OtherALSTATE LICENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101217000193 PR Practitioner - Neurosurgery 7315135332 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Puerto Rico School of Medicine, 1975
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 Ave FD Roosevelt
Suite 511
San Juan, PR 00918-2163

400 FD Roosevelt Ave
Suite 511
San Juan, PR 00918-2163
Phone (787) 763-1310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Oct 1, 1984 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Oct 1, 1984 Accepting new patients
Skin by Brau LLC PastSince Jul 1, 2012 Accepting new patients

Locations

BO Monacillos Centro Medico De Puerto Rico
San Juan, PR 00935
Phone (781) 763-4149

Centro Medico De
San Juan, PR 00935
Phone (781) 763-4149

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1114939949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FD ROOSEVELT AVENUE",
            "address_2": "SUITE 511",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182132",
            "telephone_number": "787-763-1310",
            "fax_number": "787-766-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT",
            "address_2": "SUITE 511",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182103",
            "telephone_number": "787-763-1310",
            "fax_number": "787-766-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAU",
        "first_name": "RICARDO",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PR",
            "license": "5917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5917",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "7504",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.