Individual provider Active NPI

Maria A Padilla-Bruno, M.D

  • Dermatology Physician
  • Bayamon, PR
National Provider Identifier
1295729101
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4803 Issued in PR
Practice address
Santa Cruz Street #73
Santa Cruz Medical Building, Suite 214
Bayamon, PR 00961-6911
Phone
(787) 798-5899
Fax
(787) 787-9905
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4803 PR Primary
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X 4803 PR

Addresses

Primary practice location

Santa Cruz Street #73
Santa Cruz Medical Building, Suite 214
Bayamon, PR 00961-6911

Mailing address

Santa Cruz Street #73
Santa Cruz Medical Building, Suite 214
Bayamon, PR 00961-6911
Phone (787) 798-5899

Other names 1

  • Maria Alicia Padilla-Bruno Professional name

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
I20110318000262 PR Practitioner - Dermatology 5991988669 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Santa Cruz St
73 Santa Cruz Medical BLDG Suite 214
Bayamon, PR 00961-6911

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions123
Removal or shaving of skin growth113
Skin biopsy348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4803PRMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1295729101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SANTA CRUZ STREET #73",
            "address_2": "SANTA CRUZ MEDICAL BUILDING, SUITE 214",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616911",
            "telephone_number": "787-798-5899",
            "fax_number": "787-787-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTA CRUZ STREET #73",
            "address_2": "SANTA CRUZ MEDICAL BUILDING, SUITE 214",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616911",
            "telephone_number": "787-798-5899",
            "fax_number": "787-787-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA-BRUNO",
        "first_name": "MARIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "4803",
            "primary": true
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "PR",
            "license": "4803",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "PADILLA-BRUNO",
            "middle_name": "ALICIA",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.