Individual
DR. WALLACE J LARACUENTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
61 CALLE GOYCO, CAGUAS, PR 00725-0000
(787) 743-5226
Mailing address
E11 CALLE SAN RAFAEL, SAN PEDRO ESTATES, CAGUAS, PR 00725-7677
(787) 469-1552
(787) 743-4633
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10584
PR
Other
Enumeration date
07/25/2006
Last updated
08/05/2024
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