Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Raul San Juan

Individual provider Internal Medicine Physician · NPI 1124489331

Raul San Juan is a General Practice in Fort Lauderdale, Florida. Graduated from Nova Southeastern College of Osteo Medicine in 2016, 10 years ago. Practices with David a Butler DO LLC, a 14-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
FL
In the registry since
2016
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Practice location Address checks out

4800 N Federal Hwy Ste 200
Fort Lauderdale, FL 33308-4611
Phone: (954) 771-2111
Fax: (954) 983-1152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4613 S Orange Blossom Trl, Orlando, FL 32839-1705 — (407) 232-9833

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence OS16495 (FL)

Record details

NPI number1124489331
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 15, 2016
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2016 (10 years in practice)
Group practice David A Butler Do Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Lauderdale