Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAUL ALMAGUER MD
NPI 1134192131
Internal Medicine in Miami, FL

Q: What is Raul Almaguer's NPI number?

The NPI number for Raul Almaguer is 1134192131. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Q: What is Raul Almaguer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Raul Almaguer was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.

Active since February 09, 2006PECOS EnrolledAccepts Medicare Assignment

3181 CORAL WAY, 5TH FLOOR, MIAMI, FL 33145(305) 858-3494(786) 497-2725 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Raul Almaguer Md NPPES

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

RAUL ALMAGUER MD (NPI 1134192131) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME93387) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1134192131

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameRAUL ALMAGUERCredential: MD

Location Address3181 CORAL WAY, 5TH FLOORMiami, FL 33145

Mailing Address3181 Coral Way, 5th FloorMiami, FL 33145 · (305) 858-3494 · Fax (786) 497-2725

Phone(305) 858-3494

Fax(786) 497-2725

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateFebruary 9, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1134192131 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 · ME93387

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.

3181 CORAL WAY, Miami, FL 33145

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raul Almaguer Md 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 ID4789575135

PECOS Enrollment IDI20050917000004

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

50 services31 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

33 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33145 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

2 suppliers19 claims185 services$0.07 avg. paid by Medicare

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

2 suppliers26 claims246 services$0.34 avg. paid by Medicare

Collagen dressing, sterile, size 16 sq. in. or less, each A6021

DME-Medical/Surgical Supplies · category DA023N

2 suppliers12 claims1,686 services$20.42 avg. paid by Medicare

Collagen dressing, sterile, size more than 48 sq. in., each A6023

DME-Medical/Surgical Supplies · category DA023N

2 suppliers14 claims134 services$182.82 avg. paid by Medicare

Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing A6238

DME-Medical/Surgical Supplies · category DA023N

2 suppliers45 claims1,257 services$22.00 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing A6403

DME-Medical/Surgical Supplies · category DA023N

2 suppliers42 claims3,666 services$0.40 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

NATALIA MAS M.S.,CCC-SLP

Speech-Language Pathologist

3181 CORAL WAY, 5TH FLOOR
CORAL GABLES, FL 33145

Miami-Dade County (305) 858-3494

GERARD JOHN BARRIOS M.D.

Internal Medicine

3181 CORAL WAY, 5TH FLOOR
CORAL GABLES, FL 33145

Miami-Dade County (305) 858-3494

ILDEFONSO J MAS JR. MD

Internal Medicine (Cardiovascular Disease)

3181 CORAL WAY, 5TH FLOOR
MIAMI, FL 33145

Miami-Dade County (305) 858-3494

SOUTH FLORIDA PUL,MONARY AND CRITICAL CARE

Allergy & Immunology

3181 CORAL WAY, 1ST FLOOR
CORAL GABLES, FL 33145

Miami-Dade County (305) 567-1999

WAYNE E. LIPSON M.D., P.A.

Specialist

3181 CORAL WAY, SUITE # 302
MIAMI, FL 33145

Miami-Dade County (305) 446-5718

MAS CARDIOLOGY GROUP INC

Internal Medicine (Cardiovascular Disease)

3181 CORAL WAY, 5TH FLOOR
MIAMI, FL 33145

Miami-Dade County (305) 858-3494

MAS REHABLILITATION SERVICES, INC.

Speech-Language Pathologist

3181 CORAL WAY, 5TH FLOOR
CORAL GABLES, FL 33145

Miami-Dade County (305) 858-3494

BAYSHORE SURGICAL ASSOCIATES, LLC

Surgery

3181 CORAL WAY, SUITE 302
CORAL GABLES, FL 33145

Miami-Dade County (305) 856-1002

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 Almaguer's NPI number?

The NPI number for Raul Almaguer is 1134192131. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Raul Almaguer located?

Raul Almaguer practices at 3181 Coral Way 5th Floor, Miami, FL 33145. The listed phone number is (305) 858-3494.

What is Raul Almaguer's specialty?

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

Is Raul Almaguer enrolled in Medicare?

Yes. Raul Almaguer 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.

What insurance does Raul Almaguer accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Raul Almaguer 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 Almaguer was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.