NPIMap

Organization Active NPI

Laboratorio Clinico Hormigueros LLC

  • Clinical Medical Laboratory
  • Hormigueros, PR
National Provider Identifier
1780292292
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABORATORIO CLINICO HORMIGUEROS LLC
Practice address
3 Ave Luis Munoz Marin
Hormigueros, PR 00660-1750
Phone
(787) 849-9485
Fax
(787) 827-8014
NPI assigned
Jul 21, 2020
Last updated
May 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Dr. Tania Rodriguez
Title
Ceo
Phone
(787) 849-9485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3 Ave Luis Munoz Marin
Hormigueros, PR 00660-1750

Mailing address

PO Box 57
Hormigueros, PR 00660-0057
Phone (787) 849-9485

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
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.

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1780292292",
    "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": "787-849-9485",
            "fax_number": "787-827-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 AVE LUIS MUNOZ MARIN",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006601750",
            "telephone_number": "787-849-9485",
            "fax_number": "787-827-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO HORMIGUEROS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "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_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hormigueros, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.