IndividualActive

Graciela Tanner, PA

NPI 1114768736 · Medical Physician Assistant · San Juan, PR

Provider details

NPI number: 1114768736
Entity type: Individual
Primary specialty: Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA
Sex: Female
Sole proprietor: Yes
License: 001710PA (PR)

Medical Physician AssistantPrimary363AM0700XLicense 001710PA (PR)
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant363A00000XLicense 001710PA (PR)
Physician Assistants & Advanced Practice Nursing Providers

Po Box 11913

San Juan, PR 00922-1913

Phone: (787) 999-0753

A53 Calle 4

Arecibo, PR 00612-2525

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.