Individual
ISRAEL LARACUENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3111 CALLE ATALAYA, ALTURAS DE MAYAGUEZ, MAYAGUEZ, PR 00682
(787) 617-5931
Mailing address
3111 CALLE ATALAYA, ALTURAS DE MAYAGUEZ, MAYAGUEZ, PR 00682
(787) 617-5931
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME174078
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/14/2019
Last updated
05/29/2025
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