Provider Demographics
NPI:1811796881
Name:LJUBETIC, BERNARDITA (MD)
Entity type:Individual
Prefix:
First Name:BERNARDITA
Middle Name:
Last Name:LJUBETIC
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:BERNARDITA
Other - Middle Name:MARIA
Other - Last Name:LJUBETIC VILLALON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2603 MICHAELANGELO DR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-1417
Mailing Address - Country:US
Mailing Address - Phone:956-362-8767
Mailing Address - Fax:
Practice Address - Street 1:2603 MICHAELANGELO DR
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-1417
Practice Address - Country:US
Practice Address - Phone:956-362-8767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program