Organization Active NPI

Empresas Hernandez Mercado Inc

  • Clinical Medical Laboratory
  • Rio Piedras, PR
National Provider Identifier
1891907101
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
144 Issued in PR
Legal business name
EMPRESAS HERNANDEZ MERCADO INC
Practice address
1055 Calle Brumbaugh
Rio Piedras, PR 00925-2916
Phone
(787) 765-3735
Fax
(787) 765-3735
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Mrs. Lidia Mercado Hernandez
Title
Medical Technologist
Phone
(787) 765-3735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 144 PR Primary

Addresses

Primary practice location

1055 Calle Brumbaugh
Rio Piedras, PR 00925-2916

Mailing address

1055 Calle Brumbaugh
Rio Piedras, PR 00925-2916
Phone (787) 765-3735

Other names 1

  • LAB DR CORDOVA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080428000526 PR Part B Supplier - Independent Clinical Laboratory 2264510569 Practice locations: Rio Piedras, PR

National Provider Directory

National Provider Directory
Tax ID family
Empresas Hernandez Mercado Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1891907101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 CALLE BRUMBAUGH",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009252916",
            "telephone_number": "787-765-3735",
            "fax_number": "787-765-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 CALLE BRUMBAUGH",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009252916",
            "telephone_number": "787-765-3735",
            "fax_number": "787-765-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPRESAS HERNANDEZ MERCADO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "MERCADO  HERNANDEZ",
        "authorized_official_first_name": "LIDIA",
        "authorized_official_title_or_position": "MEDICAL TECHNOLOGIST",
        "authorized_official_telephone_number": "787-765-3735",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAB DR CORDOVA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.