MEDICARE: LARACUENTE CHIROPRACTIC CENTER LLC

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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1922950278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LARACUENTE CHIROPRACTIC CENTER LLC

Provider Business Mailing Address
First Line	:	HC 7 BOX 24046
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00731-9215
Country	:	US
Telephone Number	:	939-229-9643
Fax Number	:

Provider Business Practice Location Address
First Line	:	714 AVE PONCE DE LEON
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00918-4512
Country	:	US
Telephone Number	:	939-229-9643
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	LESLIANN M. GONZALEZ LARACUENTE
Credential	:	DC
Telephone Number	:	939-229-9643

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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