Provider Demographics
NPI:1710043500
Name:THERAPEX, INC.
Entity Type:Organization
Organization Name:THERAPEX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:N
Authorized Official - Last Name:CARRAZANA
Authorized Official - Suffix:
Authorized Official - Credentials:PUBLIC ACCOUNTANT
Authorized Official - Phone:305-444-6494
Mailing Address - Street 1:2500 S DOUGLAS RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6104
Mailing Address - Country:US
Mailing Address - Phone:305-444-6494
Mailing Address - Fax:305-444-6405
Practice Address - Street 1:2500 S DOUGLAS RD
Practice Address - Street 2:SUITE B
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6104
Practice Address - Country:US
Practice Address - Phone:305-444-6494
Practice Address - Fax:305-444-6405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL103253261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center