DR. RAFAEL A ANTUN MD NPI 1457309288

NPI Information

NPI: 1457309288
Provider Name: DR. RAFAEL A ANTUN, MD
Classification: Urology - 208800000X
Entity Type: Individual
PECOS Registration: Yes
CLIA Number: 10D0940269
Address: 7600 SW 57 AVE
STE 213
SOUTH MIAMI, FL
ZIP 33143
Phone: (305) 548-4005

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NPI Details

DR. Rafael A Antun, MD is an urology in South Miami, FL with 46 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Rafael A Antun, MD NPI is 1457309288. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7600 SW 57 AVE
STE 213
SOUTH MIAMI, FL
ZIP 33143-408
Phone: (305) 548-4005
Fax: (305) 548-4055

The NPI 1457309288 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 10D0940269 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 6/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	208800000X	Urology	ME0059386	FLORIDA	No
2	208800000X	Urology	ME59386	FLORIDA	Yes
3	208200000X	Plastic Surgery	ME59386	FLORIDA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	111349100	MEDICAID	FLORIDA
2	052240600	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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