Skin by Brau LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SKIN BY BRAU LLC

Practice address

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

Phone

(787) 763-1310

NPI assigned

Jun 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Cristina N Brau JavierNPI 1508018664

Title

President

Phone

(787) 763-1310

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cristina N Brau Javier, M.D.

  • Dermatology Physician
  • San Juan, PR
  • NPI 1508018664
  Medicare reassignment NPD Authorized official
• Ricardo H Brau, M.D.

  • Neurological Surgery Physician
  • San Juan, PR
  • NPI 1114939949
  NPD (past)

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1225399439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT STE 511",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT STE 511",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182163",
            "telephone_number": "787-763-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN BY BRAU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "BRAU JAVIER",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-763-1310",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "17886",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sleep Equipment Corp

• Dermatology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Dermatology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.