Individual
DR. GRACIANY MIRANDA GRAJALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2804 W MARC KNIGHTON CT, SUITE A, LECANTO, FL 34461-9019
(352) 746-8000
(352) 746-8001
Mailing address
2804 W MARC KNIGHTON CT, SUITE A, LECANTO, FL 34461-9019
(352) 746-8000
(888) 325-3690
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15543
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7310343
—
PR
01
—
778245
HUMANA GOLD HMO
PR
01
—
DM154559
ASSMCA
PR
Enumeration date
11/04/2005
Last updated
03/07/2023
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