| NPI | 1902503337 |
|---|---|
| Doing Business As | VICENTE NAZARIO LARACUENTE LLC |
| Entity Type | Organization |
| Authorized Contact | VICENTE NAZARIO LARACUENTE Dueno 787-361-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-15 |