DR. BRAULIO MALAVE LOPEZ PA
NPI 1225847809
Physician Assistant - Medical in San Juan, PR

Active since January 07, 2025PECOS Enrolled
1302 AV JUAN PONCE DE LEON, SAN JUAN, PR 00907(787) 493-5088 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Braulio Malave Lopez Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRAULIO MALAVE LOPEZ PA (NPI 1225847809) is an individual medical provider in San Juan, Puerto Rico, licensed in Puerto Rico (001445-PA) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1225847809
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDR. BRAULIO MALAVE LOPEZCredential: PA
Location Address1302 AV JUAN PONCE DE LEONSan Juan, PR 00907
Mailing AddressPo Box 262252San Juan, PR 00926-2654 · (939) 206-1416
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 7, 2025
NPPES CertifiedJanuary 6, 2025
NPI 1225847809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in PR · 001445-PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Braulio Malave Lopez Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486147931
PECOS Enrollment IDI20251203001286
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Braulio Malave Lopez's NPI number?

The NPI number for Braulio Malave Lopez is 1225847809. It was assigned to this individual provider in the NPPES registry on January 7, 2025.

Where is Braulio Malave Lopez located?

Braulio Malave Lopez practices at 1302 Av Juan Ponce De Leon, San Juan, PR 00907. The listed phone number is (787) 493-5088.

What is Braulio Malave Lopez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Braulio Malave Lopez enrolled in Medicare?

Yes. Braulio Malave Lopez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Braulio Malave Lopez was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.