NPIMap

Organization Active NPI

Hernandez Buitrago & Sons Inc

Doing business as Laboratorio Clinico Guayama

  • Clinical Medical Laboratory
  • Guayama, PR
National Provider Identifier
1982824066
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
378 Issued in PR
Legal business name
HERNANDEZ BUITRAGO & SONS INC
Doing business as
Laboratorio Clinico Guayama
Practice address
47 Calle Baldorioty W
Guayama, PR 00784-5336
Phone
(787) 864-3636
NPI assigned
Apr 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Carmen I Buitrago
Title
Laboratory Director
Phone
(787) 864-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 378 PR Primary

Addresses

Primary practice location

47 Calle Baldorioty W
Guayama, PR 00784-5336

Mailing address

PO Box 2308
Guayama, PR 00785-2308
Phone (787) 864-3636

Other identifiers 1

IdentifierTypeStateIssuer
30291OtherPRSSS

Other names 1

  • LABORATORIO CLINICO GUAYAMA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070625000082 PR Part B Supplier - Independent Clinical Laboratory 8426157983 Practice locations: Guayama, PR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
HNDZ Buitrago Sons4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982824066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2308",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007852308",
            "telephone_number": "787-864-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CALLE BALDORIOTY W",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007845336",
            "telephone_number": "787-864-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNANDEZ BUITRAGO & SONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUITRAGO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "787-864-3636",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "30291",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO GUAYAMA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guayama, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.