MRS. Raquel Ita Berezdivin, PA-C

NPI #1114669140 in San Juan, Puerto Rico

Provider Information

NPI Number: 1114669140
Entity Type: Individual
Name: MRS. Raquel Ita Berezdivin, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 11, 2022
Last Updated: Oct 28, 2022

Practice Location

Address: 1511 AVENIDA DE LA CONSTITUCION
Address 2: SUITE 3
City: San Juan
State: Puerto Rico
ZIP Code: 00909
Phone: (787) 339-2639

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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