Healthcare Provider Details

I. General information

NPI: 1750201794
Provider Name (Legal Business Name): RAUL'S COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 NW 97TH AVE
DORAL FL
33172-1417
US

IV. Provider business mailing address

2510 NW 97TH AVE
DORAL FL
33172-1417
US

V. Phone/Fax

Practice location:
  • Phone: 305-984-2933
  • Fax:
Mailing address:
  • Phone: 305-984-2933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RAUL MIGUEL BOFFILL
Title or Position: OWNER
Credential: APRN
Phone: 305-984-2933