Individual provider Active NPI

Richard C Laracuente Sanchez, DTP

  • Physical Therapist
  • Bayamon, PR
National Provider Identifier
1043043185
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4657 Issued in PR
Practice address
E6 Calle Santa Cruz
Bayamon, PR 00961-6905
Phone
(787) 330-2100
NPI assigned
Aug 23, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4657 PR Primary

Addresses

Primary practice location

E6 Calle Santa Cruz
Bayamon, PR 00961-6905

Mailing address

Condominio Senide Calle Francisco Sein 12
Apto 7
San Juan, PR 00917
Phone (787) 330-2100

Other practice location 1

15 Ave Munoz Rivera Paseo Caribe Building
Ste 104
San Juan, PR 00901-2480
Phone (787) 330-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250225000716 PR Practitioner - Physical Therapist in Private Practice 5193254175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Advantage Health Center LLCGroup PAC ID 7012301013, 6 clinicians

Practice addresses (Care Compare)

15 Ave Munoz Rivera
San Juan, PR 00901-2480
Phone (888) 900-0073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4657PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Center LLC Physical Therapist CurrentSince Oct 31, 2024 Accepting new patients
Advantage Rehab and Wellness Center LLC Physical Therapist PastSince Nov 5, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1043043185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONDOMINIO SENIDE CALLE FRANCISCO SEIN 12",
            "address_2": "APTO 7",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-330-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E6 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616905",
            "telephone_number": "787-330-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 AVE MUNOZ RIVERA PASEO CARIBE BUILDING",
            "address_2": "STE 104",
            "address_purpose": "LOCATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009012480",
            "country_code": "US",
            "telephone_number": "787-330-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARACUENTE SANCHEZ",
        "first_name": "RICHARD",
        "middle_name": "C",
        "credential": "DTP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "4657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.