FORTAL TECH CORP


Address: 165 Calle Mendez Vigo W, Mayaguez, PR 00682-3258
Phone: 7876735619

FORTAL TECH CORP (NPI# 1821394545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821394545
Entity Type Organization
Organization Name FORTAL TECH CORP
Practice Address 165 Calle Mendez Vigo W
Mayaguez
PR 00682-3258
Practice Telephone 7876735619
Mailing Telephone 7876735619
Enumeration Date 2011-01-27
Last Update Date 2011-01-27
Authorized Official Name DULAT ADILSHIN (CEO)
Authorized Official Telephone 7876735619
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 40D2016954 PR Laboratories

Office Location

Street Address 165 CALLE MENDEZ VIGO W
City MAYAGUEZ
State PR
Zip Code 00682-3258

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1104437136 Laura Andrea Rosado Gonzalez Internal Medicine Paseo Los Robles, Los Caminos, #1805, Mayaguez, PR 00682 2020-08-13
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1023639127 Eugenio Alejandro Sanchez Perez IIi Physician Assistant Urb. Los Versalles, Calle Luis Xiv #2042, Mayaguez, PR 00682 2020-04-29
1285267864 Farmacia Ajl LLC Pharmacy Carr 108 Km 2.6, Mayaguez, PR 00682 2020-02-21
1487202198 Benjamin Colucci Bisot Psychologist Alturas De Mayaguez, Calle Torrecillas 913, Mayaguez, PR 00682 2019-08-27
1356997084 Rafael Munoz Massage Therapist Cond La Cima Apt A602, Urb Paseo Los Robles, Mayaguez, PR 00682 2019-08-19
1194377382 Eduardo Alberto Lindsay Family Medicine Hostos 410 Carretera 2, Mayaguez, PR 00682 2019-07-09
1194382606 Melanie Mercado Psychologist 1588 Carr 108 Km 4.3, Bo Miradero, Mayaguez, PR 00682 2019-05-21
1497229355 Israel Laracuente Student in an Organized Health Care Education/Training Program 3111 Calle Atalaya, Alturas De Mayaguez, Mayaguez, PR 00682 2019-01-14
1528540861 Elsie Maria Rodriguez Palermo Psychologist 445 Gonzalez Clemente Ave, Val Harbour Plaza Suite 301, Mayaguez, PR 00682 2018-09-04
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

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1356793525 Universidad De Pr Rum Clinical Medical Laboratory 259 Ave Blvd Alfonso Valdez, Depto Servicios Medicos, Mayaguez, PR 00681-9000 2016-07-12
1184068140 Laboratorio Clinico La Monserrate Corp. Clinical Medical Laboratory 345 Calle Ramon Emeterio Betances, Edif. Comercial Belmonte Centro, Mayaguez, PR 00680 2013-04-22
1134458623 Laboratorio Dsm Rum Clinical Medical Laboratory 259 Alfonso Valdes Blvd. Rum, Mayaguez, PR 00681 2009-12-14
1962730192 Laboratorio Clinico Jerusalen Clinical Medical Laboratory Carr 348 Km 4 Hm 8, Barrio Malezas, Mayaguez, PR 00680 2009-11-30
1578897401 Rovica Development Clinical Medical Laboratory 114 Calle Mckinley W Ste 105, Mayaguez, PR 00680-3865 2009-09-24
1861620494 Lab Clinico Irizarry Guasch Inc Clinical Medical Laboratory Carr 108 Km 2.9, Mayaguez, PR 00680-0000 2009-06-22
1689851040 Clinica Yaguez, Inc. Clinical Medical Laboratory 114 Mckinley, Plaza Yaguez Suite 105, Mayaguez, PR 00680 2008-01-29
1174743157 Laboratorio Clinico El Mani Clinical Medical Laboratory Carretero 64 Km 3.7 Barrio Mani, Mayaguez, PR 00680 2007-05-01
1205052131 Clinica Espanola, Inc. Clinical Medical Laboratory 106 Km 0.5 Interior, Mayaguez, PR 00680-0000 2007-04-18
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City MAYAGUEZ
Zip Code 00682

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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