HPM Foundation Clinical Laboratory
Organization Active NPI Clinical Medical Laboratory · Vieques, PR
NPI 1346944352 · NPPES record last updated Mar 27, 2023
Key facts
- NPI
- 1346944352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Ivonne I Rivera
- Title
- Ceo
- Phone
- (787) 268-4171
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 16
Practitioners 1
-
Grissel Munoz Vargas, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- HPM Foundation Clinical Laboratory
Locations
47 Calle Benitez Guzman
#B
Vieques, PR 00765
47 Calle Benitez Guzman
Vieques, PR 00765
Phone (787) 468-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
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
Other providers in Vieques, PR
- Departamento de Salud Oficial
- Rufus Etienne
- Jose Francisco Figueroa
- Juan Rafael Gonzalez
- Jason Mark Haley
- HPM Foundation Inc
- Imagen Optica
- Isla Nena Pharmacy, Inc.
- Laboratorio Clinico Y de Referencia de Fajardo, Inc.
- Betzaida Mackenzie
All providers in Vieques, PR · Clinical Medical Laboratory in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.