| Juan J Laracuente Reyes, | |
|
#8 Calle Luz Celenia Tirado, San German, PR 00683 | |
| (787) 892-5300 | |
| Not Available |
| Full Name | Juan J Laracuente Reyes |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | #8 Calle Luz Celenia Tirado, San German, Puerto Rico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487249165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 3019 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Winter Haven Hospital | Winter haven, FL | Hospital |
| Adventhealth Sebring | Sebring, FL | Hospital |
| Adventhealth Lake Wales | Lake wales, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Dynamics Llc | 3779832530 | 615 |
| Ams National Llc | 3870813025 | 240 |
| Baycare Medical Group, Inc. | 6406753623 | 1356 |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Entity Name | Jax Anesthesia Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245271154 PECOS PAC ID: 5698783702 Enrollment ID: O20060331000288 |
| Entity Name | Fleming Island Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487945895 PECOS PAC ID: 6002084860 Enrollment ID: O20110721000345 |
| Entity Name | Ams National Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316330830 PECOS PAC ID: 3870813025 Enrollment ID: O20150529000613 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Juan J Laracuente Reyes, 64 Calle Chelo Roman, Adjuntas, PR 00601-2217 Ph: (939) 332-1590 | Juan J Laracuente Reyes, #8 Calle Luz Celenia Tirado, San German, PR 00683 Ph: (787) 892-5300 |
Andrea Marie Pagan, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: #8 Calle Luz Celenia Tirado, San German, PR 00683 Phone: 787-892-5300 | |
Amy Rosario Maldonado, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: #8 Luz Celenia Tirado, San German, PR 00683 Phone: 787-892-5300 |