Individual provider Active NPI

Rita Laracuente, MD

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1871538462
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME70410 Issued in FL
Practice address
14325 Bending Branch CT
Orlando, FL 32824-6346
Phone
(407) 855-9905
Fax
(407) 857-2486
NPI assigned
Jun 18, 2006
Last updated
Feb 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME70410 FL Primary
General Practice Physician 208D00000X 8378 PR

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

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20080516000194 FL Practitioner - General Practice 7618866922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Puerto Rico School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8378PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rita Laracuente MD PA General Practice CurrentSince May 1, 2002 Accepting new patients
Mtech-Health Inc Past Accepting new patients
Comprehensive Rehab Center Inc Past Accepting new patients
Mtech-Health Inc PastSince Jan 1, 2001 Accepting new patients
Mobile Medical Advantage Inc General Practice Past Accepting new patients

Locations

740 N Wymore Rd
Maitland, FL 32751
Phone (407) 628-0123

Organizations & group practices 6

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

Hospital & facility affiliations 9

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1871538462",
    "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": {
        "last_name": "LARACUENTE",
        "first_name": "RITA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME70410",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "8378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.