Provider Demographics
NPI:1528452513
Name:BIOFOOT SCAN
Entity type:Organization
Organization Name:BIOFOOT SCAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:QUIRANTES
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:305-773-7721
Mailing Address - Street 1:4258 S.W. 12 AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012
Mailing Address - Country:US
Mailing Address - Phone:305-773-7721
Mailing Address - Fax:
Practice Address - Street 1:4258 S.W. 12 AVE
Practice Address - Street 2:
Practice Address - City:HIALEAAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4108
Practice Address - Country:US
Practice Address - Phone:305-773-7721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-27
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier