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NPI 1508018664

NPI 1508018664 : CRISTINA N BRAU JAVIER M.D. : SAN JUAN, PR

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General NPI Number Information
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    NPI Number           |    1508018664
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    Entity Type          |    Individual 
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    Provider Name        |    CRISTINA N BRAU JAVIER M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/21/2008
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    Last Update Date     |    04/09/2024
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Provider Practice Location Address
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    Address Line         |    400 AVE FD ROOSEVELT #511
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00918-2103
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    Country              |    US
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    Telephone            |    787-763-1310
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    400 AVE FD ROOSEVELT #511
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00918-2103
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    Country              |    US
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    Telephone            |    787-763-1310
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    17886
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    License Number State |    PR
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    236134
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    License Number State |    MA
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Taxonomy #3
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    Taxonomy Code        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    17886
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    License Number State |    PR
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