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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GRACIELA SUSANA TANNER PA
NPI 1114768736
General Practice in San Juan, PR

Active since June 06, 2024PECOS Enrolled
PO BOX 11913, SAN JUAN, PR 00922(787) 999-0753 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 21, 2026, Jun 6, 2024 (2 updates tracked since 2024).

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 general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (25169) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114768736
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
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
Last NPPES UpdateSeptember 21, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1114768736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 25169
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Graciela Susana Tanner Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 General Practice with taxonomy code 208D00000X.

Is Graciela Tanner enrolled in Medicare?

Yes. Graciela Tanner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Graciela Tanner was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.