Paola Nicole Laracuente Roman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36616 Issued in PR

Practice address

3111 Calle Atalaya
Mayaguez, PR 00682-6252

Phone

(787) 365-4854

NPI assigned

Nov 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1306481858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 CALLE ATALAYA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 CALLE ATALAYA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826252",
            "telephone_number": "787-365-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARACUENTE ROMAN",
        "first_name": "PAOLA",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "36616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos A Lado-Cornejo, PHD
• Jorge L Laffossee, CSW
• Victor Lamberty Ellin Sr., MD
• Zulma Iris Lamboy
• Eduardo Velez Lara Sr., OP
• Israel Laracuente
• Pedro Laracuente, M.D.
• Miguel A Lasalle Lopez, MD
• Luz E Lassalle-Nieves, OTR/L
• Jorge Latoni Maldonado

• Internal Medicine Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.