Organization Active NPI

Rita Laracuente MD PA

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1730218165
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
RITA LARACUENTE MD PA
Practice address
14325 Bending Branch CT
Orlando, FL 32824-6346
Phone
(407) 855-9905
Fax
(407) 857-2486
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rita Laracuente, MDNPI 1871538462
Title
President
Phone
(407) 492-7927

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

14325 Bending Branch CT
Orlando, FL 32824-6346

Mailing address

14325 Bending Branch CT
Orlando, FL 32824-6346
Phone (407) 855-9905

Other identifiers 1

IdentifierTypeStateIssuer
266044000MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040313000256 FL Part B Supplier - Clinic/Group Practice 2062301492 Receives reassigned benefits from 3 practitioners
Practice locations: Orlando, FL; Winter Park, FL; Windermere, FL; Ocoee, FL; Maitland, FL; Kissimmee, FL

National Provider Directory

National Provider Directory

Locations

5501 E Michigan St
Orlando, FL 32822
Phone (407) 277-7225

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730218165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14325 BENDING BRANCH CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328246346",
            "telephone_number": "407-855-9905",
            "fax_number": "407-857-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14325 BENDING BRANCH CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328246346",
            "telephone_number": "407-855-9905",
            "fax_number": "407-857-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITA LARACUENTE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARACUENTE",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-492-7927",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266044000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.