Individual provider Active NPI

Cristina N Brau Javier, M.D.

  • Dermatology Physician
  • San Juan, PR
National Provider Identifier
1508018664
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
17886 Issued in PR
Practice address
400 Ave FD Roosevelt
#511
San Juan, PR 00918-2103
Phone
(787) 763-1310
NPI assigned
Oct 21, 2008
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 17886 PR
Dermatology Physician 207N00000X 17886 PR Primary
Internal Medicine Physician 207R00000X 236134 MA

Addresses

Primary practice location

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

Mailing address

400 Ave FD Roosevelt
#511
San Juan, PR 00918-2103
Phone (787) 763-1310

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
I20120830000654 PR Practitioner - Dermatology 1951558683 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Columbia University College of Physicians and Surgeons, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions77
Removal of nail tissue1-10
Skin biopsy86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
236134MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skin by Brau LLC Dermatology CurrentSince Jul 1, 2012 Accepting new patients
Recinto de Ciencias Medicas Dermatology CurrentSince Oct 1, 2015 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Oct 1, 2015 Accepting new patients
Recinto de Ciencias Medicas Past Accepting new patients

Locations

400 Ave Fd Roosevelt
Ste 511
San Juan, PR 00918
Phone (787) 763-1310

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1508018664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT",
            "address_2": "#511",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182103",
            "telephone_number": "787-763-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT",
            "address_2": "#511",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182103",
            "telephone_number": "787-763-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAU JAVIER",
        "first_name": "CRISTINA",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "17886",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "17886",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "236134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.