# ICONIC CLINICAL RESEARCH, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558197525
- **Authorized official:** YANET PEREZ ALVAREZ APRN, RN, RBT (ADMINISTRATOR)
- **Authorized official phone:** (786) 803-6168

## Contact information

- **Practice address:** 351 NW 42ND AVE STE 204, MIAMI, FL 33126-5670
- **Practice address phone:** (786) 894-0155
- **Practice address fax:** (786) 894-0156
- **Mailing address:** 351 NW 42ND AVE STE 204, MIAMI, FL 33126-5670
- **Mailing address phone:** (786) 894-0155
- **Mailing address fax:** (786) 894-0156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QR1100X | Research Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/09/2024
- **Last updated:** 09/09/2024