MRS. PA-C Raquel Ita Berezdivin, NPI 1114669140
Physician Assistant in San Juan, PR, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1114669140
NPI Entity Type Individual
Provider Name MRS. PA-C Raquel Ita Berezdivin
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1511 Avenida De La Constitucion, Suite 3, San Juan, PR, US
Provider Mailing Address 54 Calle Calistemon, Guaynabo, PR, US, 009663166
Gender Female
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

363A00000X

Taxonomy Name Physician Assistant
Classification

Physician Assistant

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. 845PA
License State PR
Description 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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Other Name

PA-C Raquel Ita Franco
Former Name

Business Address

MRS. PA-C Raquel Ita Berezdivin
1511 Avenida De La Constitucion
Suite 3

San Juan, PR, US

Phone: 787-339-2639

Mailing Address

MRS. PA-C Raquel Ita Berezdivin
54 Calle Calistemon
Guaynabo, PR, US
ZIP 009663166
Phone: 786-223-7624

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

363A00000X

Physician Assistants & Advanced Practice Nursing Providers

Physician Assistant

PA9113995 FL No

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
OTHERS pravanhealth.slack.com DIRECT Yes 1511 Avenida de la Constitucion, Suite 3, San Juan, PR, AA

Other Providers in PR, US

NPI Name Taxonomy Address

1528797495

Patricia Sofia Gonzalez

Individual

Student in an Organized Health Care Education/Training Program

Upr School Of Medicine

San Juan, PR

1639808710

Keyla Marie Rodriguez Valle

Individual

Clinical Social Worker

Carr 107 Km 2.3 Bo Borinquen

Edificio Plaza Del Mar

Aguadilla, PR

1114669140

MRS. PA-C Raquel Ita Berezdivin

Individual

Physician Assistant

1511 Avenida De La Constitucion

Suite 3

San Juan, PR

1053970012

MSMS Francesca Marie Perez

Individual

Student in an Organized Health Care Education/Training Program

Phsu, 388 Zona Industrial Reparada 2

Ponce, PR

1144810813

MR. Tarun Stephenson Pandari

Individual

Student in an Organized Health Care Education/Training Program

1752 Calle Marquesa

Urb Valle Real

Ponce, PR

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