MEDICARE: ALEX THERAPY CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1407807027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEX THERAPY CENTER INC

Provider Business Mailing Address
First Line	:	962 SW 82ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-4271
Country	:	US
Telephone Number	:	305-265-4166
Fax Number	:

Provider Business Practice Location Address
First Line	:	962 SW 82ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-4271
Country	:	US
Telephone Number	:	305-265-4166
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALEXIS RAFAEL LLOPIZ
Credential	:
Telephone Number	:	305-265-4166

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	08/22/2020

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Directions to “ALEX THERAPY CENTER INC ” Practice Location

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