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GRACE E. WANDERSLEBEN MD
NPI 1376142844
General Practice in Canovanas, PR

Active since October 25, 2020PECOS Enrolled
CARRETERA 188 KM 1.5 BARRIO SAN ISIDRO, CANOVANAS, PR 00729(787) 957-2020 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 21, 2021, Jan 13, 2021, Oct 25, 2020 (3 updates tracked since 2020).

About Grace E. Wandersleben Md NPPES

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

GRACE E. WANDERSLEBEN MD (NPI 1376142844) is an individual general practice provider in Canovanas, Puerto Rico, licensed in Puerto Rico (022070) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376142844
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameGRACE E. WANDERSLEBENCredential: MD
Location AddressCARRETERA 188 KM 1.5 BARRIO SAN ISIDROCanovanas, PR 00729-3998
Mailing AddressPo Box 155Rio Grande, PR 00745-0155 · (787) 240-6585
Phone(787) 957-2020
Sole ProprietorYes
Enumeration DateOctober 25, 2020
Last NPPES UpdateMarch 23, 20223 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
✔ NPI 1376142844 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 · 022070
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)

Grace E. Wandersleben Md 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 Grace Wandersleben's NPI number?

The NPI number for Grace Wandersleben is 1376142844. It was assigned to this individual provider in the NPPES registry on October 25, 2020.

Where is Grace Wandersleben located?

Grace Wandersleben practices at Carretera 188 Km 1.5 Barrio San Isidro, Canovanas, PR 00729. The listed phone number is (787) 957-2020.

What is Grace Wandersleben's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Grace Wandersleben enrolled in Medicare?

Yes. Grace Wandersleben is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace Wandersleben was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.