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General NPI Number Information
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NPI Number | 1922950278
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Entity Type | Organization
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Legal Business Name | LARACUENTE CHIROPRACTIC CENTER LLC
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 714 AVE PONCE DE LEON
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City | SAN JUAN
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State | PR
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Zip | 00918-4512
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Country | US
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Telephone | 939-229-9643
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Fax |
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Provider Business Mailing Address
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Address Line | HC 7 BOX 24046
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City | PONCE
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State | PR
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Zip | 00731-9215
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Country | US
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Telephone | 939-229-9643
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | LESLIANN M. GONZALEZ LARACUENTE
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Credential | DC
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Telephone | 939-229-9643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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