Biofort Corp
Clinic/Center, Multi-Specialty in Guaynabo, PR. Organization (NPI-2).
NPI number1235843665
StatusActive
Last updated in NPPESJan 10, 2023
Details
- NPI
- 1235843665
- Entity type
- Organization (NPI-2)
- Legal business name
- Biofort Corp
- Organization subpart
- No
- Enumeration date
- Jan 10, 2023
- Certification date
- Jan 9, 2023
- Last updated
- Jan 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 261QR1100X | Clinic/Center, Research | – | – | |
| 261QI0500X | Clinic/Center, Infusion Therapy | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | – | – | |
| 291U00000X | Clinical Medical Laboratory | – | – |
Practice location
Pr-1 North, Km 20.61 Fort Estate, Sector La Muda
Guaynabo, PR 00971
Phone 787-246-3671
Mailing address
Po Box 1374Guaynabo, PR 00970-1374
Authorized official
Marigdalia Ramirez-Fort
President & Ceo
7872463671
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