Individual provider Active NPI

Marigdalia Ramirez-Fort, M.D.

  • Radiation Oncology Physician
  • Guaynabo, PR
National Provider Identifier
1205121795
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
018674 Issued in PR
Practice address
36 Calle Tropical
Guaynabo, PR 00969-3704
Phone
(718) 221-5856
NPI assigned
Jun 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 278055 NY
Surgery Physician 208600000X MT200237 PA
Student in an Organized Health Care Education/Training Program 390200000X 278055 NY
Radiation Oncology Physician 2085R0001X 018674 PR Primary

Addresses

Primary practice location

36 Calle Tropical
Guaynabo, PR 00969-3704

Mailing address

PO Box 1374
Guaynabo, PR 00970-1374
Phone (908) 285-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171027001259 SC Order and Referring Only - Radiation OncologyPractitioner - Radiation Oncology 4082980545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
278055NYMDRadiation Oncology Physician
MT200237PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Biofort Corp CurrentSince Feb 21, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1205121795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1374",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009701374",
            "telephone_number": "908-285-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CALLE TROPICAL",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693704",
            "telephone_number": "718-221-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ-FORT",
        "first_name": "MARIGDALIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "278055",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT200237",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "278055",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PR",
            "license": "018674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.