Guatemala is one of the richest biodiversity hotspots worldwide, bursting a wild array of ecosystems that range from pine and mixed forests in the highlands to tropical rain forests in the extensive El Petén area, bordering Belize and Mexico. Despite this biological wealth, however, current knowledge on the Guatemalan mycobiota is particularly scant, in part because of the prolonged civil war that has prevented exploration of many ecological niches. In the present paper, we report on the occurrence of Lactarius rimosellus Peck-a rarely discussed species-in oak-pine mixed forests in the Guatemalan highlands and describe the relevant ectomycorrhizae formed with Quercus sp. by means of molecular and morpho-anatomical tools. On the phylogenetic trees constructed on the basis of the partial LSU sequence, sporocarp- and ectomycorrhizae-derived sequences formed a common, statistically supported clade. The structural features of the ectomycorrhizae of L. rimosellus were generally found to match those described on various hosts for other Lactarius species belonging to the subgenus Russularia, where L. rimosellus has been traditionally assigned. These mycorrhizae are characterized by a pseudoparenchymatous outer mantle layer, with epidermoid or angular hyphal cells, and a plectenchymatous inner mantle layer; lactifers are embedded either in the middle and/or inner mantle layer. In the framework of a more general, ongoing study of the ethnomycology of the Maya populations in the Guatemalan highlands, we also report on the traditional knowledge about Lactarius mushrooms and their uses among native people.