Provider Demographics
NPI:1194193649
Name:ALEXA REHABILITATION CENTER INC
Entity Type:Organization
Organization Name:ALEXA REHABILITATION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YIMI
Authorized Official - Middle Name:
Authorized Official - Last Name:SUAREZ AMEJEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-607-8316
Mailing Address - Street 1:10300 SW 72ND ST STE 465
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3028
Mailing Address - Country:US
Mailing Address - Phone:305-607-8316
Mailing Address - Fax:
Practice Address - Street 1:10300 SW 72ND ST STE 465
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3028
Practice Address - Country:US
Practice Address - Phone:305-607-8316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation