CLINICA HISPANA LANCASTER LLC
NPI 1730921545
Nurse Practitioner in Lancaster, TX

Active since June 11, 2024CLIA 45D2304778 · Waiver
3250 W PLEASANT RUN RD STE 160, LANCASTER, TX 75146(469) 747-3005 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Clinica Hispana Lancaster Llc NPPES

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

CLINICA HISPANA LANCASTER LLC (NPI 1730921545) is a healthcare organization registered as a nurse practitioner in Lancaster, Texas and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through May 16, 2028 and lists Roselio Perez Garcia, Medical Provider, as its authorized official.

NPPES Registry Identity

NPI1730921545
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameCLINICA HISPANA LANCASTER LLC
Location Address3250 W PLEASANT RUN RD STE 160Lancaster, TX 75146-1071
Mailing Address3250 W Pleasant Run Rd Ste 160Lancaster, TX 75146-1071 · (469) 747-3005
Organization SubpartNo
Authorized OfficialRoselio Perez GarciaMedical Provider · (786) 326-1762
Enumeration DateJune 11, 2024
NPPES CertifiedJune 11, 2024
✔ NPI 1730921545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3250 W PLEASANT RUN RD STE 160, Lancaster, TX 75146

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinica Hispana Lancaster Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Clinica Hispana Lancaster LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1043780513
2110 N GALLOWAY AVE STE 108
Mesquite, TX 75150
(972) 634-4871
✔ PECOS18 mi
Nurse Practitioner
NPI 1154194215
616 N WHARTON ST
Sherman, TX 75092
(512) 783-5530
✔ PECOS72 mi
Nurse Practitioner
NPI 1689221822
2510 NE 41ST AVE
Homestead, FL 33033
(786) 368-4327
✔ PECOS1,105 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 45D2304778

Clinica Hispana Lancaster · Lancaster, TX
Active · expires May 16, 2028
CLIA Number45D2304778
Laboratory TypePhysician Office
Certificate Effective DateMay 17, 2026
Certificate Expiration DateMay 16, 2028
Laboratory DirectorYurisney Fontanills Aroche
Laboratory Phone(469) 792-3976
Laboratory LocationClinica Hispana Lancaster3250 W Pleasant Run Road Ste 160, Lancaster, TX 75146
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Clinica Hispana Lancaster LLC's NPI number?

The NPI number for Clinica Hispana Lancaster LLC is 1730921545. It was assigned to this organization in the NPPES registry on June 11, 2024.

Where is Clinica Hispana Lancaster LLC located?

Clinica Hispana Lancaster LLC is located at 3250 W Pleasant Run Rd Ste 160, Lancaster, TX 75146. The listed phone number is (469) 747-3005.

What is Clinica Hispana Lancaster LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Clinica Hispana Lancaster LLC enrolled in Medicare?

Yes. Clinica Hispana Lancaster LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinica Hispana Lancaster LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Clinica Hispana Lancaster LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Clinica Hispana Lancaster LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2304778) is associated with this NPI, valid through May 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clinica Hispana Lancaster LLC accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare and WellPoint list Clinica Hispana Lancaster LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clinica Hispana Lancaster LLC was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.