Individual provider · Type 1 NPI

Raquel Ita Berezdivin, PA-C

Physician Assistant · San Juan, PR

NPI number 1114669140 Active

Practice location

1511 Avenida De La Constitucion, Suite 3
San Juan, PR 00909

Mailing address

54 Calle Calistemon
Guaynabo, PR 00966-3166

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9113995 (FL)
Physician Assistant Primary 363A00000X845PA (PR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1114669140

Raquel Ita Berezdivin, PA-C's National Provider Identifier is 1114669140, issued on Apr 11, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Juan, PR. The record was last updated on Oct 28, 2022.