Provider Demographics
NPI:1073587499
Name:MASVIDAL, RAUL FELIX (MD)
Entity Type:Individual
Prefix:DR
First Name:RAUL
Middle Name:FELIX
Last Name:MASVIDAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:250 SW 42ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1755
Mailing Address - Country:US
Mailing Address - Phone:305-444-7459
Mailing Address - Fax:305-448-6600
Practice Address - Street 1:250 SW 42ND AVE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1755
Practice Address - Country:US
Practice Address - Phone:305-444-7459
Practice Address - Fax:305-448-6600
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2008-04-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL40935207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL96461Medicare PIN