Individual provider Active NPI

Raymond Molano, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Port St Lucie, FL
National Provider Identifier
1417070376
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME108810 Issued in FL
Practice address
1801 SE Hillmoor Dr Ste a-109
Port St Lucie, FL 34952-7545
Phone
(772) 212-7049
Fax
(772) 212-7059
NPI assigned
Apr 7, 2007
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME108810 FL
Internal Medicine Physician 207R00000X 4301087752 MI
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME108810 FL Primary

Addresses

Primary practice location

1801 SE Hillmoor Dr Ste a-109
Port St Lucie, FL 34952-7545

Mailing address

5350 Spring Hill Dr
Spring Hill, FL 34606-4562
Phone (352) 277-5348

Other identifiers 2

IdentifierTypeStateIssuer
008495800MedicaidFL
103795000MedicaidFL

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111102000779 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2264621093 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Health Care Physicians LLCGroup PAC ID 4385821156, 176 clinicians

Practice addresses (Care Compare)

1801 SE Hillmoor Dr
Suite A108A110
Port St Lucie, FL 34952-7553
Phone (772) 212-7049

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME108810FLMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Health Care Physicians LLC Internal Medicine CurrentSince Apr 1, 2020 Accepting new patients
Correa Mental Health Center Corp CurrentSince Jun 8, 2021 Accepting new patients
Soul Health Center LLC CurrentSince Jun 15, 2025 Accepting new patients
Access Health Care LLC Past Accepting new patients
Eastern Medical Center Corp Past Accepting new patients
Mind Fullness Therapy LLC Past Accepting new patients
Family Home Health Services LLC Past Accepting new patients

Locations

634 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 334-6201

13220 Belcher Rd S
Unit 11
Largo, FL 33773
Phone (727) 533-2242

13205 SW 137th Ave
Ste 206
Miami, FL 33186
Phone (305) 259-4393

5911 NW 173rd Dr
Unit 24
Miami Gardens, FL 33015
Phone (786) 307-8253

1700 SE Hillmoor Dr
Ste 501
Port St Lucie, FL 34952
Phone (772) 335-1313

1801 SE Hillmoor Dr
Ste A-108
Port St Lucie, FL 34952
Phone (772) 212-7049

14690 Spring Hill Dr
Ste 101
Spring Hill, FL 34609

14690 Spring Hill Dr
Ste 305
Spring Hill, FL 34609
Phone (352) 277-5348

5350 Spring Hill Dr
Spring Hill, FL 34606
Phone (352) 688-8116

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JICADA

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1417070376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064562",
            "telephone_number": "352-277-5348",
            "fax_number": "352-606-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR STE A-109",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527545",
            "telephone_number": "772-212-7049",
            "fax_number": "772-212-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLANO",
        "first_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-07",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME108810",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301087752",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME108810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008495800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103795000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.