Individual
LUIS E RAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 N FLAMINGO RD, SUITE 11, PEMBROKE PINES, FL 33028-1046
(954) 844-6868
(954) 443-4747
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME71292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2540321-00
—
FL
Enumeration date
07/07/2006
Last updated
03/18/2021
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