Doctor Name: | RITA LARACUENTE |
NPI Number: | 1871538462 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 8378 |
Business Practice Address: | 14325 Bending Branch Ct Orlando, FL - 328246346 |
Business Phone Number: | 4078559905 |
Business Fax Number: | 4078572486 |
Mailing Address: | 14325 Bending Branch Ct, ORLANDO |
State: | FL |
Postal Code: | 328246346 |
Phone Number: | 4078559905 |
Fax Number: | 4078572486 |
NPI Enumeration Date: | 06/18/2006 |
NPI Last Update Date: | 02/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 8378 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |