DR. GRACIELA SUSANA TANNER PA
NPI 1114768736
Physician Assistant - Medical in San Juan, PR

Q: What is Graciela Tanner's NPI number?

The NPI number for Graciela Tanner is 1114768736. It was assigned to this individual provider in the NPPES registry on June 6, 2024.

Q: What is Graciela Tanner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Graciela Tanner was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 06, 2024

PO BOX 11913, SAN JUAN, PR 00922(787) 999-0753 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Graciela Susana Tanner Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GRACIELA SUSANA TANNER PA (NPI 1114768736) is an individual medical provider in San Juan, Puerto Rico, licensed in Puerto Rico (001710PA) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1114768736

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameDR. GRACIELA SUSANA TANNERCredential: PA

Location AddressPO BOX 11913San Juan, PR 00922-1913

Mailing AddressA53 Calle 4Arecibo, PR 00612-2525 · (727) 225-4605

Phone(787) 999-0753

Sole ProprietorYes

Enumeration DateJune 6, 2024

NPPES CertifiedJune 6, 2024

✔ NPI 1114768736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PR · 001710PA

Also ListedPhysician AssistantTaxonomy 363A00000X · License 001710PA (PR)

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Graciela Tanner's NPI number?

The NPI number for Graciela Tanner is 1114768736. It was assigned to this individual provider in the NPPES registry on June 6, 2024.

Where is Graciela Tanner located?

Graciela Tanner practices at PO Box 11913, San Juan, PR 00922. The listed phone number is (787) 999-0753.

What is Graciela Tanner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Graciela Tanner was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.