Individual provider Active NPI

Julian O Barrera Llaurador, MD, FAAD

  • Dermatology Physician
  • Caguas, PR
National Provider Identifier
1922466325
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
19746 Issued in PR
Practice address
200 Grand Boulevard - Suite Z-5
Plaza Los Prados
Caguas, PR 00727
Phone
(787) 746-3136
NPI assigned
Feb 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 19746 PR
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X 19746 PR Primary

Addresses

Primary practice location

200 Grand Boulevard - Suite Z-5
Plaza Los Prados
Caguas, PR 00727

Mailing address

PO Box 365067
San Juan, PR 00936-5067

Other practice location 1

1008 Ave Americo Miranda
San Juan, PR 00921-2842
Phone (787) 765-7950

Other practice location 2

295 Palmas Inn Way # C120
Humacao, PR 00791-6181
Phone (787) 718-7144

Other practice location 3

286 Ave Domenech
San Juan, PR 00918-3506
Phone (787) 314-4443

Other identifiers 1

IdentifierTypeStateIssuer
039132900MedicaidPR

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
I20210902001258 PR Practitioner - Dermatology 0749515765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

286 Ave Domenech
San Juan, PR 00918-3506
Phone (787) 450-1239

68 Calle Santa Cruz
Bayamon, PR 00961-7031
Phone (787) 798-1200

Plaza Los Prados
5 200 Grand Boulevard
Caguas, PR 00727
Phone (787) 450-1239

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions396
Removal or shaving of skin growth60
Skin biopsy147

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
JB Dermatology LLC Multi-Specialty CurrentSince Aug 1, 2021 Accepting new patients
Salud Integral En la Montana, Inc. Multi-Specialty CurrentSince Oct 5, 2021 Accepting new patients
Salud Integral En la Montana, Inc Multi-Specialty CurrentSince Oct 5, 2021 Accepting new patients

Locations

295 Palmas Inn Way
#C120
Humacao, PR 00791
Phone (787) 718-7144

286 Ave Domenech
San Juan, PR 00918
Phone (787) 314-4443

Organizations & group practices 3

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": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1922466325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365067",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GRAND BOULEVARD - SUITE Z-5",
            "address_2": "PLAZA LOS PRADOS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727",
            "telephone_number": "787-746-3136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1008 Ave Americo Miranda",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009212842",
            "country_code": "US",
            "telephone_number": "787-765-7950",
            "fax_number": "787-767-0467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "295 Palmas Inn Way # C120",
            "address_purpose": "LOCATION",
            "city": "Humacao",
            "state": "PR",
            "postal_code": "007916181",
            "country_code": "US",
            "telephone_number": "787-718-7144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "286 Ave Domenech",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009183506",
            "country_code": "US",
            "telephone_number": "787-314-4443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRERA LLAURADOR",
        "first_name": "JULIAN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD, FAAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-01",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "19746",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "PR",
            "license": "19746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039132900",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.