Individual provider Active NPI

Pedro Laracuente, M.D.

  • Obstetrics & Gynecology Physician
  • Mayaguez, PR
National Provider Identifier
1902832843
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5051 Issued in PR
Practice address
114 Calle McKinley W
Mayaguez, PR 00680-3875
Phone
(787) 832-9306
Fax
(787) 265-8442
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5051 PR Primary

Addresses

Primary practice location

114 Calle McKinley W
Mayaguez, PR 00680-3875

Mailing address

PO Box 4363
Mayaguez, PR 00681-4363
Phone (787) 832-9306

Other identifiers 1

IdentifierTypeStateIssuer
0027341OtherPRTRIPLE S

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110311000601 PR Practitioner - Obstetrics/Gynecology 8325220395 Reassigns benefits to 1 organization
Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asociacion de Maestros de P RGroup PAC ID 4082781679, 9 clinicians

Practice addresses (Care Compare)

158 Calle Ramos Antonini E
Mayaguez, PR 00680-5044
Phone (787) 831-3130

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Asociacion de Maestros de P R CurrentSince Jul 28, 2010 Accepting new patients

Locations

158 Calle Ramos Antonini E
Mayaguez, PR 00680
Phone (787) 831-3130

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1902832843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4363",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006814363",
            "telephone_number": "787-832-9306",
            "fax_number": "787-265-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CALLE MCKINLEY W",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006803875",
            "telephone_number": "787-832-9306",
            "fax_number": "787-265-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARACUENTE",
        "first_name": "PEDRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "5051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "0027341",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.