NPIMap

Organization Active NPI

HPM Foundation Clinical Laboratory

  • Clinical Medical Laboratory
  • Vieques, PR
National Provider Identifier
1346944352
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HPM FOUNDATION CLINICAL LABORATORY
Practice address
Calle Benitez Guzman Num 47
Isabel II Bo: Pueblo
Vieques, PR 00765-9998
Phone
(787) 468-2000
Fax
(787) 919-3956
NPI assigned
Mar 27, 2023
Last updated
Mar 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Mrs. Ivonne I Rivera
Title
Ceo
Phone
(787) 268-4171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Calle Benitez Guzman Num 47
Isabel II Bo: Pueblo
Vieques, PR 00765-9998

Mailing address

PO Box 14457
San Juan, PR 00916-4457

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131202000940 PR Part B Supplier - Independent Clinical Laboratory 3870629579 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Vieques, PR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
HPM Foundation Clinical Laboratory17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

47 Calle Benitez Guzman
#B
Vieques, PR 00765

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1346944352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14457",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009164457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE BENITEZ GUZMAN NUM 47",
            "address_2": "ISABEL II BO: PUEBLO",
            "city": "VIEQUES",
            "state": "PR",
            "postal_code": "007659998",
            "telephone_number": "787-468-2000",
            "fax_number": "787-919-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HPM FOUNDATION CLINICAL LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "IVONNE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-268-4171",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vieques, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.