DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GRACIELA SUSANA TANNER, PA

Active Sole Proprietor

DR. GRACIELA SUSANA TANNER, PA is a Medical Physician Assistant healthcare provider located in SAN JUAN, Puerto Rico. NPI 1114768736 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · SAN JUAN, PR

Registration Details

NPI Number
1114768736
Provider Type
Individual
Gender
Female
NPI Issued
Jun 6, 2024 (2.0051959771859 yrs)
Last Updated
Jun 6, 2024
Licenses
001710PA (PR)
001710PA (PR)
Sole Proprietor
Yes

Practice Information

Address
PO BOX 11913
SAN JUAN, PR, 009221913
Browse PR providers · Browse ZIP 00922
Phone
7879990753
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in SAN JUAN, PR

Name Credential NPI
MRS. IDABELLE DIAZ-GARCIA PA-C 1003258922
ANGEL EMMANUEL CASILLAS RODRIGUEZ 1447813860
HENRY J LARACUENTE MD, PA 1841836020
STELLA M RODRIGUEZ PA 1205454733
LYMARI BARNECET PA 1457960940
CESAR ANTONIO AVILA PA 1144835000
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.