| Ronald Laracuente Md Pa | |
|
9325 Glades Rd Suite 204 Boca Raton FL 33434-3988 | |
| (561) 483-6772 | |
| Not Available |
| Full Name | Ronald Laracuente Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 9325 Glades Rd, Boca Raton, Florida |
| Authorized Official Name and Position | Ronald Laracuente (PRESIDENT) |
| Authorized Official Contact | 5614836772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald Laracuente Md Pa 9325 Glades Rd Suite 204 Boca Raton FL 33434-3988 Ph: (561) 483-6772 | Ronald Laracuente Md Pa 9325 Glades Rd Suite 204 Boca Raton FL 33434-3988 Ph: (561) 483-6772 |
| NPI Number | 1750420667 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 08/07/2008 |
| Medicare PECOS PAC ID | 0648372821 |
|---|---|
| Medicare Enrollment ID | O20070219000155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750420667 | NPI | - | NPPES |
| 260242300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME80924 (Florida) | Primary |
| Provider Name | Ronald Laracuente |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043260391 PECOS PAC ID: 9436058591 Enrollment ID: I20040107000766 |
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