Wallace Laracuenta M.D

NPI 1598788200 - Internal Medicine - 207R00000X

NPI Details
NPI 1598788200
Gender Male
Enumeration Date 07/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
61 CALLE GOYCO
CAGUAS PR, 00725-0000, US
Phone (787) 743-5226
Fax
Business Location
URB. SAN PEDRO ESTATES
CALLE SAN RAFAEL E-11
CAGUAS PR, 00725-0000, US
Phone (787) 286-3546
Fax (787) 743-4633
Toxanomy
Taxonomy Code 207R00000X
License State Puerto Rico
License Number 10584
Remove 1598788200 NPI Number
 

According to our database, Dr. Wallace Laracuenta M.D NPI is 1598788200, taxonomy code is 207R00000X and license number is 10584, license state is located at Puerto Rico. Wallace Laracuenta M.D physically located at 61 Calle Goyco, Caguas PR, 00725-0000. NPI Number Wallace Laracuenta M.D has the Individual type.

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1598788200 NPI number is provided on an as is basis without warranty of any kind. 1598788200 is maintained by the National Plan & Provider Enumeration System. The contents of Wallace Laracuenta M.D are for informational purposes only.