Organization Active NPI

Laboratorio Clinico Hormigueros LLC

  • Clinical Medical Laboratory
  • Cabo Rojo, PR
National Provider Identifier
1619799681
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABORATORIO CLINICO HORMIGUEROS LLC
Doing business as
Laboratorio Clinico Hormigueros LLC
Practice address
Edificio Medico Profesional Borinquen
Suite 10
Cabo Rojo, PR 00623
Phone
(787) 255-0208
Fax
(787) 255-0330
NPI assigned
Oct 30, 2024
Last updated
May 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Tania Rodriguez, DRA
Title
Ceo
Phone
(787) 849-9485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

Edificio Medico Profesional Borinquen
Suite 10
Cabo Rojo, PR 00623

Mailing address

PO Box 57
Hormigueros, PR 00660-0057
Phone (787) 255-0208

Other names 1

  • Laboratorio Clinico Hormigueros LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220314000398 PR Part B Supplier - Independent Clinical Laboratory 6305231176 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cabo Rojo, PR; Mayaguez, PR; Hormigueros, PR

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Lab Clinico Hormigueros LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1619799681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006600057",
            "telephone_number": "787-255-0208",
            "fax_number": "787-255-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO MEDICO PROFESIONAL BORINQUEN",
            "address_2": "SUITE 10",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-255-0208",
            "fax_number": "787-255-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO HORMIGUEROS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-849-9485",
        "authorized_official_credential": "DRA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Hormigueros LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cabo Rojo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.