Provider Demographics
NPI:1407816150
Name:OLIU, ALEXANDER JAVIER
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:JAVIER
Last Name:OLIU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7363 SW 122ND PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-3628
Mailing Address - Country:US
Mailing Address - Phone:786-229-6606
Mailing Address - Fax:
Practice Address - Street 1:7363 SW 122ND PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-3628
Practice Address - Country:US
Practice Address - Phone:786-229-6606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-26
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN3355062163W00000X
FLARNP 3355062367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse