Provider Demographics
NPI:1326228594
Name:STRAX INSTITUTE INC
Entity Type:Organization
Organization Name:STRAX INSTITUTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ILIANA
Authorized Official - Middle Name:I
Authorized Official - Last Name:ALVAREZ RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-300-2500
Mailing Address - Street 1:16354 NE 26TH AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4004
Mailing Address - Country:US
Mailing Address - Phone:305-300-2500
Mailing Address - Fax:305-303-2500
Practice Address - Street 1:16354 NE 26TH AVE
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-4004
Practice Address - Country:US
Practice Address - Phone:305-300-2500
Practice Address - Fax:305-303-2500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME69641174400000X
FLME72004174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK4897Medicare PIN