Individual provider Active NPI

Rafael Augusto Azuaje, PA-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1184403032
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1190 NW 95TH St Ste 200
Miami, FL 33150-2064
Phone
(305) 691-2550
NPI assigned
Sep 28, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1190 NW 95TH St Ste 200
Miami, FL 33150-2064

Mailing address

15280 NW 79TH CT Ste 200
Miami Lakes, FL 33016-5873
Phone (305) 558-3724

Other practice location 1

601 N Flamingo Rd Ste 210
Pembroke Pines, FL 33028-1009
Phone (954) 432-6621

Other practice location 2

21150 Biscayne Blvd Ste 102
Aventura, FL 33180-1231
Phone (305) 682-8831

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231012003828 FL Practitioner - Physician Assistant 6800241720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida ENT Associates IncGroup PAC ID 4587556923, 156 clinicians

Practice addresses (Care Compare)

1190 NW 95TH St
Suite 200
Miami, FL 33150-2064
Phone (305) 691-2550

18501 Pines Blvd
Suite 210
Pembroke Pines, FL 33029-1420
Phone (954) 237-2505

21150 Biscayne Blvd
Suite 102
Aventura, FL 33180-1231
Phone (305) 935-6000

8940 N Kendall Dr
Suite 504E
Miami, FL 33176-2150
Phone (305) 595-6200

Merit-based Incentive Payment System (MIPS)

Final score
70.4 of 100Reported as group
Quality
47.82
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida ENT Associates, Inc. Otolaryngology CurrentSince Sep 28, 2023 Accepting new patients
Florida ENT Associates, Inc. Otolaryngology CurrentSince Oct 1, 2023 Accepting new patients

Locations

8940 N Kendall Dr
Ste 504E
Miami, FL 33176
Phone (305) 595-6200

21150 Biscayne Blvd
Ste 102
Miami, FL 33180
Phone (305) 933-3395

15280 NW 79th Ct
Ste 200
Miami Lakes, FL 33016

1190 NW 95th St
Ste 200
Miami Shores, FL 33150
Phone (305) 691-2550

18501 Pines Blvd
Ste 210
Pembroke Pines, FL 33029
Phone (954) 237-2505

601 N Flamingo Rd
Ste 210
Pembroke Pnes, FL 33028
Phone (954) 438-1015

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1184403032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15280 NW 79TH CT STE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165873",
            "telephone_number": "305-558-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502064",
            "telephone_number": "305-691-2550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N Flamingo Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281009",
            "country_code": "US",
            "telephone_number": "954-432-6621",
            "fax_number": "305-696-4610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21150 Biscayne Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801231",
            "country_code": "US",
            "telephone_number": "305-682-8831",
            "fax_number": "305-696-4610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZUAJE",
        "first_name": "RAFAEL",
        "middle_name": "AUGUSTO",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-28",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.