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RAUL SAN JUAN
NPI 1124489331
Internal Medicine in Fort Lauderdale, FL

Active since March 15, 2016PECOS EnrolledAccepts Medicare Assignment
4800 N FEDERAL HWY STE 200, FORT LAUDERDALE, FL 33308(954) 771-2111(954) 983-1152 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2023, Jan 27, 2020, Mar 15, 2016 (3 updates tracked since 2016).

About Raul San Juan NPPES

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

RAUL SAN JUAN (NPI 1124489331) is an individual internal medicine provider in Fort Lauderdale, Florida, licensed in Florida (OS16495) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Orlando, and is a graduate of Nova Southeastern College Of Osteo Medicine (2016).

NPPES Registry Identity

NPI1124489331
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAUL SAN JUAN
Location Address4800 N FEDERAL HWY STE 200Fort Lauderdale, FL 33308-4611
Mailing Address4800 N Federal Hwy Ste 200Fort Lauderdale, FL 33308-4611 · (954) 771-2111 · Fax (954) 983-1152
Phone(954) 771-2111
Fax(954) 983-1152
Sole ProprietorYes
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2016
Enumeration DateMarch 15, 2016
Last NPPES UpdateSeptember 12, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2023
✔ NPI 1124489331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · OS16495
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4800 N FEDERAL HWY STE 200, Fort Lauderdale, FL 33308
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Secondary Practice Location 1

Location 14613 S Orange Blossom TrlOrlando, FL 32839-1705 · Phone (407) 232-9833 · Fax (407) 232-9829

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raul San Juan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971930371
PECOS Enrollment IDI20200225000998
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Raul San Juan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dedicated Senior Medical Center Of Florida, LLC
19 mi
Specialist
1395 NW 167TH ST
Miami Gardens, FL 33169
  • Reassigned Medicare billing, Florida enrollment
  • 348 clinicians in this Medicare group
NPI 1881055366 (305) 628-6117
David A Butler Do LLC
138 mi
Family Medicine
17801 MURDOCK CIR UNIT C
Port Charlotte, FL 33948
  • Reassigned Medicare billing, Florida enrollment
  • 24 clinicians in this Medicare group
NPI 1669759080 (941) 629-3500
Altea Medical Florida PLLC
160 mi
Geriatric Medicine
4641 OLD CANOE CREEK RD
Saint Cloud, FL 34769
  • Reassigned Medicare billing, Florida enrollment
  • 57 clinicians in this Medicare group
NPI 1083493860 (888) 408-7008
Mcr Health, Inc.
172 mi
Federally Qualified Health Center (FQHC)
12271 US HIGHWAY 301 N
Parrish, FL 34219
  • Reassigned Medicare billing, Florida enrollment
  • 709 clinicians in this Medicare group
NPI 1255376000 (941) 776-4050
Post Acute Medical PLLC
902 mi
Geriatric Medicine
6710 MALLERY DR
Lanham, MD 20706
  • Reassigned Medicare billing, Florida enrollment
  • 102 clinicians in this Medicare group
NPI 1730713025 (888) 408-7008

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER MARIE WADE PA-C
Physician Assistant
4800 N FEDERAL HWY STE 200
FORT LAUDERDALE, FL 33308
Broward County (954) 688-7269
NATALIA DE VARONA APRN
Nurse Practitioner (Family)
4800 N FEDERAL HWY STE 200
FORT LAUDERDALE, FL 33308
Broward County (954) 771-2111
NICOLLE SANTAMARIA OT
Occupational Therapist
4800 N FEDERAL HWY STE 200
FORT LAUDERDALE, FL 33308
Broward County (954) 688-7269
OSCAR A SOTO MD PA
Internal Medicine
4800 N FEDERAL HWY STE 200
FORT LAUDERDALE, FL 33308
Broward County (954) 771-2111
GK PLASTIC SURGERY PLLC
Surgery (Plastic and Reconstructive Surgery)
4800 N FEDERAL HWY STE 200
FORT LAUDERDALE, FL 33308
Broward County (954) 369-1974
LARA WHITNEY HOFFMAN PA
Physician Assistant (Medical)
4800 N FEDERAL HWY STE 200
FORT LAUDERDALE, FL 33308
Broward County (954) 887-2696

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 Raul San Juan's NPI number?

The NPI number for Raul San Juan is 1124489331. It was assigned to this individual provider in the NPPES registry on March 15, 2016.

Where is Raul San Juan located?

Raul San Juan practices at 4800 N Federal Hwy Ste 200, Fort Lauderdale, FL 33308. The listed phone number is (954) 771-2111.

What is Raul San Juan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Raul San Juan enrolled in Medicare?

Yes. Raul San Juan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Raul San Juan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raul San Juan reassigns Medicare benefits to 5 organizations: Dedicated Senior Medical Center Of Florida, LLC (Miami Gardens, FL), David A Butler Do LLC (Port Charlotte, FL), Altea Medical Florida PLLC (Saint Cloud, FL), Mcr Health, Inc. (Parrish, FL) and Post Acute Medical PLLC (Lanham, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raul San Juan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raul San Juan accept?

Health plans from Wellpoint list Raul San Juan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raul San Juan was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.