MEDICARE: THERAPEX, 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	261Q00000X	Clinic/Center	103253	FL

General Provider Information

NPI Number	:	1710043500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPEX, INC.

Provider Business Mailing Address
First Line	:	2500 S DOUGLAS RD
Second Line	:	SUITE B
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-6104
Country	:	US
Telephone Number	:	305-444-6494
Fax Number	:	305-444-6405

Provider Business Practice Location Address
First Line	:	2500 S DOUGLAS RD
Second Line	:	SUITE B
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-6104
Country	:	US
Telephone Number	:	305-444-6494
Fax Number	:	305-444-6405

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. LUIS N CARRAZANA
Credential	:	PUBLIC ACCOUNTANT
Telephone Number	:	305-444-6494

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	08/22/2020

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Directions to “THERAPEX, INC. ” Practice Location

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