Rafael Matos Medical Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RAFAEL MATOS MEDICAL CENTER INC

Practice address

15511 N Florida Ave Ste A3
Tampa, FL 33613-1263

Phone

(813) 473-8373

Fax

(813) 771-7022

NPI assigned

Sep 30, 2024

Last updated

Apr 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rafael Matos, APRNNPI 1760137178

Title

Owner

Phone

(813) 473-8373

Specialties & licenses 4

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rafael Matos, APRN

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1760137178
  NPD Authorized official

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1215755277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 NETHERWOOD DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241171",
            "telephone_number": "813-735-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15511 N FLORIDA AVE STE A3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131263",
            "telephone_number": "813-473-8373",
            "fax_number": "813-771-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL MATOS MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-473-8373",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Michelle Radner, DMD
• Lorena Yao Radney, APRN
• Russell David Radtke, M.D.
• Tyler Radziszewski, OTD
• Rafael a Rondon MD PA
• Raisa I Rafalovich, ARNP
• Ramish Hussain Rafay, MD
• Kelly Lynn Raff-Anunciato, D.O.
• Jose A Raffinan Jr.
• Stacy Raffington

• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.