Provider Demographics
NPI:1699742171
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:ILIANNA
Authorized Official - Middle Name:I
Authorized Official - Last Name:ALVAREZ RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-742-3500
Mailing Address - Street 1:4300 N UNIVERSITY DR
Mailing Address - Street 2:SUITE E-200
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-6249
Mailing Address - Country:US
Mailing Address - Phone:954-742-3500
Mailing Address - Fax:954-749-3922
Practice Address - Street 1:4300 N UNIVERSITY DR
Practice Address - Street 2:SUITE E-200
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-6249
Practice Address - Country:US
Practice Address - Phone:954-742-3500
Practice Address - Fax:954-749-3922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-03
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK4897Medicare PIN