Active NPI 1376142844 Individual Practitioner Female Practitioner

Dr. Grace E. Wandersleben , MD

General Practice • Canovanas, PR

Professional Overview & Biography Verified Profile Summary

Dr. Grace Wandersleben, MD is a registered healthcare professional specializing in General Practice in Canovanas, PR. Practice services are available at CARRETERA 188 KM 1.5 BARRIO SAN ISIDRO under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Carretera 188 Km 1.5 Barrio San Isidro

Canovanas, PR 007293998

Telephone 7879572020

Associated Practice Facility / Clinic

🏢 G & G Medical Group Llc Facility NPI 1023734373

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Canovanas, PR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 33.6 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

36 Specialists

Practicing in Canovanas, PR (4449 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-03-10

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License PR 022070

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

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location March 23, 2022

Registered at CARRETERA 188 KM 1.5 BARRIO SAN ISIDRO, CANOVANAS, PR 007293998 (Tel: 7879572020)

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NPI Profile Active October 25, 2020

NPI status registered as active in NPPES database

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Updated Practice Location October 25, 2020

Registered at 404 AVE GENERAL VALERO, FAJARDO, PR 007383998 (Tel: 7876550505)

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Updated Business Mailing Address October 25, 2020

Registered at PO BOX 155, RIO GRANDE, PR 007450155 (Tel: 7872406585)

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Provider Name / Credentials Updated October 25, 2020

Recorded as GRACE WANDERSLEBEN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2020

General Practice (License #022070 in PR)

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Initial NPI Registration & Enumeration October 25, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376142844

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 25, 2020

Last Update: March 23, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 155

Rio Grande, PR 007450155

Phone: 7872406585

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.