NPIMap

Organization Active NPI

Hernandez Buitrago & Sons Inc

Doing business as Lab Clinico Guayama/Lab Plaza Guayama

  • Clinical Medical Laboratory
  • Guayama, PR
National Provider Identifier
1184636631
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
378 Issued in PR
Legal business name
HERNANDEZ BUITRAGO & SONS INC
Doing business as
Lab Clinico Guayama/Lab Plaza Guayama
Practice address
47 Calle Baldorioty W
Guayama, PR 00784-5336
Phone
(787) 864-3636
NPI assigned
Aug 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Carmen Buitrago, MSMT
Title
Director
Phone
(787) 864-3636

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 378 PR Primary
Clinical Medical Laboratory 291U00000X 898 PR

Addresses

Primary practice location

47 Calle Baldorioty W
Guayama, PR 00784-5336

Mailing address

PO Box 2308
Guayama, PR 00785-2308
Phone (787) 864-3636

Other names 1

  • LAB CLINICO GUAYAMA/LAB PLAZA GUAYAMA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070625000199 PR Part B Supplier - Independent Clinical Laboratory 8426157983 Practice locations: Guayama, PR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Hernandez Buitrago Sons Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

500 Ave Pedro Albizu Campos
Ste 203
Guayama, PR 00784
Phone (787) 864-0561

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184636631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2308",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007852308",
            "telephone_number": "787-864-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CALLE BALDORIOTY W",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007845336",
            "telephone_number": "787-864-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNANDEZ BUITRAGO & SONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUITRAGO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-864-3636",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSMT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "378",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "898",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAB CLINICO GUAYAMA/LAB PLAZA GUAYAMA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guayama, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.