Individual provider Active NPI

Juan J Laracuente Reyes

  • Certified Registered Nurse Anesthetist
  • San German, PR
National Provider Identifier
1487249165
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3019 Issued in FL
Practice address
#8 Calle Luz Celenia Tirado
San German, PR 00683
Phone
(787) 892-5300
NPI assigned
Mar 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3019 FL Primary

Addresses

Primary practice location

#8 Calle Luz Celenia Tirado
San German, PR 00683

Mailing address

64 Calle Chelo Roman
Adjuntas, PR 00601-2217
Phone (939) 332-1590

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210915003026 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608273792 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

200 Ave F NE
Winter Haven, FL 33881-4131

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

Hospital & facility affiliations

  • Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3019FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 20, 2025 Accepting new patients
Baycare Medical Group, Inc CurrentSince Mar 1, 2025 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 17, 2024 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 16, 2024 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Jax Anesthesia Providers LLC CurrentSince Mar 1, 2025 Accepting new patients
Baycare Medical Group, Inc. Current Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

4800 Belfort Rd
Jacksonville, FL 32256
Phone (904) 307-2084

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

Organizations & group practices 7

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1487249165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 CALLE CHELO ROMAN",
            "city": "ADJUNTAS",
            "state": "PR",
            "postal_code": "006012217",
            "telephone_number": "939-332-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#8 CALLE LUZ CELENIA TIRADO",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-892-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARACUENTE REYES",
        "first_name": "JUAN",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "3019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.