Dr. Graciela S Tanner, PA
General Practice in San Juan, Puerto Rico
1114768736- Practice location
- Po Box 11913, San Juan, PR 00922-1913
- Phone
- 787-999-0753
- Fax
- —
- Last updated
- September 21, 2026
Graciela Susana Tanner is a General Practice based in San Juan, PR. Graciela Susana Tanner practices in San Juan, PR and has the professional credentials of PA. The NPI Number for Graciela Susana Tanner is 1114768736 and holds a License No. 25169 (PR). The current practice location address for Graciela Susana Tanner is Po Box 11913, San Juan, PR 00922-1913 and can be reached out via phone at 787-999-0753.
Provider Profile Details
- NPI Number
- 1114768736
- Provider Name
- Graciela Susana Tanner
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- Po Box 11913, San Juan, PR 00922-1913
- Phone Number
- 787-999-0753
- Primary Taxonomy
- General Practice · 208D00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 6, 2024
- Last Update Date
- September 21, 2026
- Certification Date
- September 21, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Po Box 11913
San Juan, PR 00922-1913 - City
- San Juan
- State
- Puerto Rico
- Zip
- 00922-1913
- Phone Number
- 787-999-0753
Provider Business Mailing Address Details
- Address
- A53 Calle 4
Arecibo, PR 00612-2525 - City
- Arecibo
- State
- PR
- Zip
- 00612-2525
- Phone Number
- 727-225-4605
License Information
- License Number
- 25169
- License State
- PR
- Taxonomy
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Graciela S Tanner, PA?
The NPI number of Dr. Graciela S Tanner, PA is 1114768736. It was assigned on June 6, 2024 and is currently active in the NPPES registry.
What is the specialty of Dr. Graciela S Tanner, PA?
Dr. Graciela S Tanner, PA is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 25169.
Where does Dr. Graciela S Tanner, PA practice?
The practice location is Po Box 11913, San Juan, PR 00922-1913. The office can be reached at 787-999-0753 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114768736 directly on the NPPES registry website.