Raul Miguel Boffill

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11230244 Issued in FL

Practice address

7618 NW 182ND LN
Hialeah, FL 33015-2939

Phone

(305) 984-2933

NPI assigned

Dec 22, 2023

Last updated

Dec 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Medical Group PAGroup PAC ID 8426391871, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southwest Medical Group, P.a.

  • Family Medicine Physician
  • Miami Lakes, FL
  • NPI 1568926327
  Medicare reassignment Care Compare group NPD
• Vitae Health Medical Florida PLLC

  • Internal Medicine Physician
  • Rockledge, FL
  • NPI 1013562024
  Medicare reassignment NPD
• Raul's Company

  dba Miami Wellness and Spa

  • Family Nurse Practitioner
  • Doral, FL
  • NPI 1750201794
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1114796760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7618 NW 182ND LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152939",
            "telephone_number": "305-984-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7618 NW 182ND LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152939",
            "telephone_number": "305-984-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOFFILL",
        "first_name": "RAUL",
        "middle_name": "MIGUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11230244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleia Boccardi, DO
• Mildred Eliz Bode, ARNP
• Bodies on the Move Fitness and Wellness
• Dianelys Boffill Hernandez
• Martha Boffill
• Juan Simon Bojana Rivero, DMD
• Julia E Bojorquez Nurinda
• Akram Bokhari, MD
• Angie Lissette Bolanos-Escalona, OTR
• Elyzabeth Bolanos, COTA/L

• Family Nurse Practitioner in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.