Grace E Wandersleben, MD
General Practice in Canovanas, Puerto Rico
1376142844- Practice location
- Carretera 188 Km 1.5 Barrio San Isidro, Canovanas, PR 00729-3998
- Phone
- 787-957-2020
- Fax
- —
- Last updated
- March 23, 2022
Grace E. Wandersleben is a General Practice based in Canovanas, PR. Grace E. Wandersleben practices in Canovanas, PR and has the professional credentials of MD. The NPI Number for Grace E. Wandersleben is 1376142844 and holds a License No. 022070 (PR). The current practice location address for Grace E. Wandersleben is Carretera 188 Km 1.5 Barrio San Isidro, Canovanas, PR 00729-3998 and can be reached out via phone at 787-957-2020.
Provider Profile Details
- NPI Number
- 1376142844
- Provider Name
- Grace E. Wandersleben
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- Carretera 188 Km 1.5 Barrio San Isidro, Canovanas, PR 00729-3998
- Phone Number
- 787-957-2020
- Primary Taxonomy
- General Practice · 208D00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 25, 2020
- Last Update Date
- March 23, 2022
- Certification Date
- March 10, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Carretera 188 Km 1.5 Barrio San Isidro
Canovanas, PR 00729-3998 - City
- Canovanas
- State
- Puerto Rico
- Zip
- 00729-3998
- Phone Number
- 787-957-2020
Provider Business Mailing Address Details
- Address
- Po Box 155
Rio Grande, PR 00745-0155 - City
- Rio Grande
- State
- PR
- Zip
- 00745-0155
- Phone Number
- 787-240-6585
License Information
- License Number
- 022070
- 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 Grace E Wandersleben, MD?
The NPI number of Grace E Wandersleben, MD is 1376142844. It was assigned on October 25, 2020 and is currently active in the NPPES registry.
What is the specialty of Grace E Wandersleben, MD?
Grace E Wandersleben, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 022070.
Where does Grace E Wandersleben, MD practice?
The practice location is Carretera 188 Km 1.5 Barrio San Isidro, Canovanas, PR 00729-3998. The office can be reached at 787-957-2020 (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 1376142844 directly on the NPPES registry website.