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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. RAQUEL ITA BEREZDIVIN, PA-C

Active Sole Proprietor

MRS. RAQUEL ITA BEREZDIVIN, PA-C is a Physician Assistant healthcare provider located in SAN JUAN, Puerto Rico. NPI 1114669140 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SAN JUAN, PR

Registration Details

NPI Number
1114669140
Provider Type
Individual
Gender
Female
NPI Issued
Apr 11, 2022 (4.302256298514 yrs)
Last Updated
Oct 28, 2022
Licenses
PA9113995 (FL)
845PA (PR)
Sole Proprietor
Yes

Practice Information

Address
1511 AVENIDA DE LA CONSTITUCION
SUITE 3
SAN JUAN, PR, 00909
Browse PR providers · Browse ZIP 00909
Phone
7873392639
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in SAN JUAN, PR

Name Credential NPI
ARISTIDES RAMOS RPT 1861427130
MR. MANUEL GUZMAN-ROSARIO PA 1588688774
MR. PETER RODRIGUEZ 1063581981
SHEILA NIEVES LOZADA MD 1033515853
WILKIANA TEJERA PA 1407422215
DR. FRANCISCO BARRIOS MD, PA 1669147336
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.