Provider Demographics
NPI:1104812916
Name:MOAS, RAUL (MD)
Entity type:Individual
Prefix:DR
First Name:RAUL
Middle Name:
Last Name:MOAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:15680 N KENDALL DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-1159
Mailing Address - Country:US
Mailing Address - Phone:305-436-9933
Mailing Address - Fax:305-436-9944
Practice Address - Street 1:3659 S MIAMI AVE
Practice Address - Street 2:SUITE 5004
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4227
Practice Address - Country:US
Practice Address - Phone:305-854-0616
Practice Address - Fax:305-854-4384
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2022-01-28
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Provider Licenses
StateLicense IDTaxonomies
FLME42676207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL041421200Medicaid
FL041421200Medicaid
FL94378XMedicare PIN