Berezdivin, Raquel Ita

Berezdivin, Raquel Ita is an sole proprietor health care provider with primary practice located at 1511 Avenida De La Constitucion Suite 3, San Juan PR 00909. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Berezdivin, Raquel Ita can be contacted via phone (787) 339-2639.

Contact Information

Primary practice address
1511 Avenida De La Constitucion Suite 3 San Juan PR 00909
Phone: (787) 339-2639
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9113995 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 845PA Puerto Rico

Profile Details

NPI number 1114669140
LBN Legal business name Berezdivin, Raquel Ita
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2022
Last updated Oct 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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