HISPANIC AMERICAN PEDIATRICS & FAMILY CARE LLC
NPI 1093313652
Clinic/Center - Primary Care in Waldorf, MD

Active since October 15, 2020CLIA 21D2204834 · Waiver
2255 CRAIN HWY STE 107, WALDORF, MD 20601(301) 818-7272 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2022, Apr 19, 2021, Apr 16, 2021 and 4 more (7 updates tracked since 2020).

About Hispanic American Pediatrics & Family Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HISPANIC AMERICAN PEDIATRICS & FAMILY CARE LLC (NPI 1093313652) is a healthcare organization registered as a primary care in Waldorf, Maryland and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through December 9, 2026 and lists Leticia Graciela Bustamante Sanchez, Crnp, as its authorized official.

NPPES Registry Identity

NPI1093313652
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHISPANIC AMERICAN PEDIATRICS & FAMILY CARE LLC
Location Address2255 CRAIN HWY STE 107Waldorf, MD 20601-3186
Mailing Address2255 Crain Hwy Ste 107Waldorf, MD 20601-3186 · (301) 818-7272
Organization SubpartNo
Authorized OfficialLeticia Graciela Bustamante SanchezCrnp · (301) 818-7272
Enumeration DateOctober 15, 2020
Last NPPES UpdateJune 10, 20227 updates tracked since enumeration
NPPES CertifiedJune 7, 2022
NPI 1093313652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
2255 CRAIN HWY STE 107, Waldorf, MD 20601

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2204834

Hispanic American Pediatrics & Family Care LLC · Waldorf, MD
Active · expires Dec 9, 2026
CLIA Number21D2204834
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorLeticia G. Sanchez
Laboratory Phone(301) 818-7272
Laboratory LocationHispanic American Pediatrics & Family Care LLC2255 Crain Hwy Unit 107, Waldorf, MD 20601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
2255 CRAIN HWY STE 107
WALDORF, MD 20601
Nurse Practitioner (Family)
2255 CRAIN HWY STE 107
WALDORF, MD 20601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hispanic American Pediatrics & Family Care LLC's NPI number?

The NPI number for Hispanic American Pediatrics & Family Care LLC is 1093313652. It was assigned to this organization in the NPPES registry on October 15, 2020.

Where is Hispanic American Pediatrics & Family Care LLC located?

Hispanic American Pediatrics & Family Care LLC is located at 2255 Crain Hwy Ste 107, Waldorf, MD 20601. The listed phone number is (301) 818-7272.

What is Hispanic American Pediatrics & Family Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Hispanic American Pediatrics & Family Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2204834) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hispanic American Pediatrics & Family Care LLC was last updated on June 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.