Individual provider Active NPI

Mayda Caridad Antun, M.D., M.B.A.

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1811086630
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0047229 Issued in FL
Practice address
4601 NW 77TH Ave
Miami, FL 33166-6449
Phone
(305) 632-5040
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0047229 FL Primary

Addresses

Primary practice location

4601 NW 77TH Ave
Miami, FL 33166-6449

Mailing address

2401 Anderson Rd Apt 15
Coral Gables, FL 33134-4873
Phone (305) 632-5040

Other identifiers 1

IdentifierTypeStateIssuer
0453706MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0047229FLMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1811086630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 ANDERSON RD APT 15",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344873",
            "telephone_number": "305-632-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 NW 77TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331666449",
            "telephone_number": "305-632-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTUN",
        "first_name": "MAYDA",
        "middle_name": "CARIDAD",
        "name_prefix": "Dr.",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0047229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0453706",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.