Organization Active NPI

Laboratorio Clinico Hormigueros LLC

Doing business as LABORATORIO CLINICO HORMIGUEROS LLC/MAS Clinical Lab

  • Clinical Medical Laboratory
  • Mayaguez, PR
National Provider Identifier
1811884497
Registry record updated Jun 18, 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/MAS Clinical Lab
Practice address
27 Calle Peral N Ste 107
Mayaguez, PR 00680-4820
Phone
(787) 832-4376
NPI assigned
Jun 18, 2025
Last updated
Jun 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Tania Rodriguez
Title
President
Phone
(787) 849-9485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

27 Calle Peral N Ste 107
Mayaguez, PR 00680-4820

Mailing address

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

Other names 1

  • LABORATORIO CLINICO HORMIGUEROS LLC/MAS Clinical Lab 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.

Locations

3 Ave Luis Munoz Marin
Hormigueros, PR 00660
Phone (787) 849-9485

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1811884497",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CALLE PERAL N STE 107",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804820",
            "telephone_number": "787-832-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO HORMIGUEROS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-849-9485"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO HORMIGUEROS LLC/MAS Clinical Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.