Healthcare Provider Details

I. General information

NPI: 1285312702
Provider Name (Legal Business Name): FELIX JOSE LARACUENTE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2023
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 CALLE DIOSDADO DONES
SALINAS PR
00751-2570
US

IV. Provider business mailing address

503 CALLE MODESTA
SAN JUAN PR
00924-4501
US

V. Phone/Fax

Practice location:
  • Phone: 787-306-4240
  • Fax:
Mailing address:
  • Phone: 787-306-4240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8144
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: