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General NPI Number Information
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NPI Number | 1235843665
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Entity Type | Organization
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Legal Business Name | BIOFORT CORP
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Dates
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Enumeration Date | 01/10/2023
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | PR-1 NORTH, KM 20.6 1 FORT ESTATE, SECTOR LA MUDA
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City | GUAYNABO
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State | PR
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Zip | 00971
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Country | US
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Telephone | 787-246-3671
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1374
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City | GUAYNABO
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State | PR
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Zip | 00970-1374
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DR. MARIGDALIA RAMIREZ-FORT
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Credential | MD
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Telephone | 787-246-3671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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