Active NPI
Juan J Laracuente Reyes
- Certified Registered Nurse Anesthetist
- San German, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3019
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3019 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ams National LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Baycare Medical Group, Inc | Current | Accepting new patients | |
| Fleming Island Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Jax Anesthesia Providers LLC | Current | 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.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1316330830
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Orange Park, FL
- NPI 1487945895
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1245271154
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1497117329
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
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.