Individual
ELIZABETH LARACUENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3006 CALLE GENIO, URB BALDORITY, PONCE, PR 00728-2919
(787) 210-1093
Mailing address
3006 CALLE GENIO, URB BALDORIOTY, PONCE, PR 00728-2919
(787) 210-1093
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6182
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6182
SOCIAL WORKER
PR
Enumeration date
11/18/2015
Last updated
11/18/2015
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