Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Raquel Ita Berezdivin, PA-C

Individual provider Physician Assistant · NPI 1114669140

Mrs. Raquel Ita Berezdivin, PA-C is a Physician Assistant in San Juan, Puerto Rico. Practices as a sole proprietor. Licensed in Florida and Puerto Rico.

Licensed in
FL, PR
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

1511 Avenida De La Constitucion Ste 3
San Juan, PR 00909
Phone: (787) 339-2639

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 845PA (PR)
Physician Assistant Taxonomy 363A00000X · Licence PA9113995 (FL)

Record details

NPI number1114669140
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 11, 2022
Last updated in NPPESOctober 28, 2022
Certification dateApril 11, 2022

Other providers in San Juan