Individual provider · Type 1 NPI

Grace E. Wandersleben, MD

General Practice Physician · Canovanas, PR

NPI number 1376142844 Active

Practice location

Carretera 188 Km 1.5 Barrio San Isidro
Canovanas, PR 00729-3998

Call (787) 957-2020 Map

Mailing address

PO Box 155
Rio Grande, PR 00745-0155

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X022070 (PR)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1376142844

Grace E. Wandersleben, MD's National Provider Identifier is 1376142844, issued on Oct 25, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Canovanas, PR. The record was last updated on Mar 23, 2022.