Provider Demographics
NPI:1588412811
Name:BECEMBERG, ANDREA CRISTINA
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:CRISTINA
Last Name:BECEMBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 CALLE ATENAS
Mailing Address - Street 2:APTDO 61
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-645-3223
Mailing Address - Fax:
Practice Address - Street 1:1300 CALLE ATENAS
Practice Address - Street 2:APTDO 61
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-645-3223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-10
Last Update Date:2024-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program