Rafael Antun MD PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME59386 Issued in FL

Legal business name

RAFAEL ANTUN MD PA

Practice address

1321 NW 14TH St
Ste 303
Miami, FL 33125-1673

Phone

(305) 548-4005

Fax

(305) 548-4055

NPI assigned

Oct 26, 2010

Last updated

Oct 26, 2010By 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

Dr. Rafael A Antun, M.D.NPI 1457309288

Title

President

Phone

(305) 548-4005

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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 A Antun, MD

  • Urology Physician
  • South Miami, FL
  • NPI 1457309288
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1336449289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 NW 14TH ST",
            "address_2": "STE 303",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251673",
            "telephone_number": "305-548-4005",
            "fax_number": "305-548-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 NW 14TH ST",
            "address_2": "STE 303",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251673",
            "telephone_number": "305-548-4005",
            "fax_number": "305-548-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL ANTUN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "ANTUN",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-548-4005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME59386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052240600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gretel Raez
• Maria Luisa Raez
• Alejandro M Rafa
• Rafael a. Barrial, MD, PA
• Rafael Acra PA
• Rafael Aviles MD
• Rafael Chiong MD PA
• Rafael Crespo, MD, PA
• Rafael G. Madrigal, M.D.,P.a,
• Rafael Gonzalez MD PA

• Urology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.