Wallace J Laracuenta, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10584 Issued in PR

Practice address

61 Calle Goyco
Caguas, PR 00725-0000

Phone

(787) 743-5226

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Centro Medico del Turabo Inc

  • Multi-Specialty Clinic/Center
  • Caguas, PR
  • NPI 1710107883
  Medicare reassignment NPD
• Centro Medico del Turabo Inc

  • Home Infusion Therapy Pharmacy
  • Bayamon, PR
  • NPI 1811632581
  NPD

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1598788200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E11 CALLE SAN RAFAEL",
            "address_2": "SAN PEDRO ESTATES",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257677",
            "telephone_number": "787-469-1552",
            "fax_number": "787-743-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 CALLE GOYCO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007250000",
            "telephone_number": "787-743-5226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Calle Jose N Arzuaga",
            "address_purpose": "LOCATION",
            "city": "Juncos",
            "state": "PR",
            "postal_code": "007773252",
            "country_code": "US",
            "telephone_number": "787-734-1999",
            "fax_number": "787-734-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARACUENTA",
        "first_name": "WALLACE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "10584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wlvoficinas@direct.practicefusion.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18 Calle Jose N Arzuaga",
            "city": "Juncos",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007773252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alfredo Erasmo Lamboy Rivera, M.A.
• Antoinnette Landrau Ubinas, PA
• Alexy E Lara, RPH, PHARMD
• Pedro J Lara, RPH
• Zoraida Lara
• Edna E Laracuente, M.D.
• Iris Esther Lasanta Ramos, M.D.
• Doris Gisela Lasanta, M.D.
• Lastmp, Inc.
• Jennifer Lastra Carrasquillo, DMD

• Internal Medicine Physician in Caguas, PR
• Providers in Caguas, 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 Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.