| Grace E Wandersleben, MD | |
|
Carretera 188 Km 1.5 Barrio San Isidro, Canovanas, PR 00729-3998 | |
| (787) 957-2020 | |
| Not Available |
| Full Name | Grace E Wandersleben |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Location | Carretera 188 Km 1.5 Barrio San Isidro, Canovanas, Puerto Rico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376142844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 022070 (Puerto Rico) | Primary |
| Entity Name | G & G Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023734373 PECOS PAC ID: 9931577137 Enrollment ID: O20221118001938 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace E Wandersleben, MD Po Box 155, Rio Grande, PR 00745-0155 Ph: (787) 240-6585 | Grace E Wandersleben, MD Carretera 188 Km 1.5 Barrio San Isidro, Canovanas, PR 00729-3998 Ph: (787) 957-2020 |
Dr. Francisco Correa Jusino, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: Calle 1, B-1 Villas De Luiza, Canovanas, PR 00729 Phone: 787-876-4555 Fax: 787-876-4555 | |
Dr. Zulma Torres, M.D General Practice Medicare: Not Enrolled in Medicare Practice Location: Hc 4 Box 8920, Canovanas, PR 00729 Phone: 787-886-0008 Fax: 787-886-1118 | |
Mr. Carlos M Roman, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: Carr 185 Km 5.5 Bo Campo Rico, Canovanas, PR 00729 Phone: 787-886-2570 | |
Dr. Myriam Guadalupe, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 185 St. Km.11.1 Lomas Coles, Canovanas, PR 00729 Phone: 787-256-6300 Fax: 787-256-6300 | |
Dr. Edwin Martinez, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: St.1 B55 Villas De Loiza, Farmacia Medina 2, Canovanas, PR 00729 Phone: 787-886-3900 | |
Ramon M Ansa Vila, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: Betances Num. 80, Canovanas, PR 00729 Phone: 787-876-8244 Fax: 787-256-1855 | |
Dr. Aleida Y. Carrasquillo- Davila, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 137 Calle 6, Bo. Torrecilla Alta, Canovanas, PR 00729 Phone: 787-367-6692 |