Mrs Raquel Ita Berezdivin, PA-C - Physician Assistant in San Juan, PR

Mrs Raquel Ita Berezdivin, PA-C is a Physician Assistant based in San Juan, Puerto Rico. Mrs Raquel Ita Berezdivin is licensed to practice in Puerto Rico (license number 845PA) and her current practice location is 1511 Avenida De La Constitucion, Suite 3, San Juan, Puerto Rico. She can be reached at her office (for appointments etc.) via phone at (787) 339-2639.

NPI number for Mrs Raquel Ita Berezdivin is 1114669140 and her current mailing address is 54 Calle Calistemon, Guaynabo, Puerto Rico. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114669140.

Contact Information

Mrs Raquel Ita Berezdivin, PA-C
1511 Avenida De La Constitucion, Suite 3,
San Juan, PR 00909
(787) 339-2639
Not Available

Map and Direction




Provider's Profile

Full NameMrs Raquel Ita Berezdivin
GenderFemale
SpecialityPhysician Assistant
Location1511 Avenida De La Constitucion, San Juan, Puerto Rico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114669140
  • Provider Enumeration Date: 04/11/2022
  • Last Update Date: 10/28/2022

Medical Identifiers

Medical identifiers for Mrs Raquel Ita Berezdivin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114669140NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA9113995 (Florida)Secondary
363A00000XPhysician Assistant 845PA (Puerto Rico)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Raquel Ita Berezdivin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Raquel Ita Berezdivin, PA-C
54 Calle Calistemon,
Guaynabo, PR 00966-3166

Ph: (786) 223-7624
Mrs Raquel Ita Berezdivin, PA-C
1511 Avenida De La Constitucion, Suite 3,
San Juan, PR 00909

Ph: (787) 339-2639

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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