Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Graciela Susana Tanner, PA

Individual provider Physician Assistant · NPI 1114768736

Dr. Graciela Susana Tanner, PA is a Physician Assistant in San Juan, Puerto Rico. Practices as a sole proprietor. Licensed in Puerto Rico.

Licensed in
PR
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

PO Box 11913
San Juan, PR 00922-1913
Phone: (787) 999-0753

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Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 001710PA (PR)
Physician Assistant Taxonomy 363A00000X · Licence 001710PA (PR)

Record details

NPI number1114768736
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 6, 2024
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024

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