Individual
HENRY J LARACUENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PA
Contact information
Practice address
29 CALLE WASHINGTON, SAN JUAN, PR 00907-1510
(787) 726-0055
Mailing address
P5 CALLE SABANA DEL PALMAR, BAYAMON, PR 00959-4937
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
252-P.A.
PR
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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