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NPI Code Detail

MEDICARE: DR. RAUL MOAS M.D.

MEDICARE: DR. RAUL MOAS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease PhysicianME42676FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104812916
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAUL MOAS M.D.
Provider Business Mailing Address
First Line : 15680 N KENDALL DR
Second Line : SUITE 201
City : MIAMI
State : FL
Zip : 33196-1159
Country : US
Telephone Number : 305-436-9933
Fax Number : 305-436-9944
Provider Business Practice Location Address
First Line : 3659 S MIAMI AVE
Second Line : SUITE 5004
City : MIAMI
State : FL
Zip : 33133-4227
Country : US
Telephone Number : 305-854-0616
Fax Number : 305-854-4384
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 01/28/2022

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