Fortal Tech Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

40D2016954 Issued in PR

Legal business name

FORTAL TECH CORP

Practice address

165 Calle Mendez Vigo W
Mayaguez, PR 00682-3258

Phone

(787) 673-5619

NPI assigned

Jan 27, 2011

Last updated

Jan 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dulat Adilshin

Title

Ceo

Phone

(787) 673-5619

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1821394545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CALLE MENDEZ VIGO W",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006823258",
            "telephone_number": "787-673-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CALLE MENDEZ VIGO W",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006823258",
            "telephone_number": "787-673-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTAL TECH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "ADILSHIN",
        "authorized_official_first_name": "DULAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-673-5619"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "40D2016954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josean Omar Flores Santiago, MD
• Ivonne Flores-Rivera, M.D.
• Minerva Flores, TECNICA DE FARMACIA
• Moises Florian Ortiz, M.D.
• For Eyes Optical of Puerto Rico, LLC
• Michael Forte-Malave, D.P.M.
• Griselle Fortuna Morales, MD
• Gilberto A Franceschini Barreto, M.D.
• Franceschini Gynecology & Aesthetics
• Chloe Nicole Franceschini, M.D.

• Clinical Medical Laboratory in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.