MEDICARE: CARLOS JOSE PLACER LARRAURI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	ME82389	FL
2	2081S0010X	Sports Medicine (Physical Medicine & Rehabilitation) Physician	ME82389	FL
3	261QP2000X	Physical Therapy Clinic/Center
4	208100000X	Physical Medicine & Rehabilitation Physician	ME82389	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	111601	OTHER		AMERIGROUP
2	5053308	OTHER	FL	CIGNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	331018616	OTHER		UHC
5	331018616	OTHER		TRICARE
6	03009	OTHER		BCBS
7	2940027	OTHER	FL	AETNA
8	331018616	OTHER		HUMANA
9	331018616	OTHER		CIGNA

General Provider Information

NPI Number	:	1396751723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS JOSE PLACER LARRAURI MD

Provider Business Mailing Address
First Line	:	8815 CONROY WINDERMERE RD # 203
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-3129
Country	:	US
Telephone Number	:	407-483-4079
Fax Number	:	407-572-8642

Provider Business Practice Location Address
First Line	:	7806 LAKE UNDERHILL RD STE 106
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-8232
Country	:	US
Telephone Number	:	407-483-4079
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	04/20/2026

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Directions to “ CARLOS JOSE PLACER LARRAURI MD” Practice Location

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