# DR. DIVINA ROSARIO SAN DIEGO VERNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114021235
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 04-32289 | KS | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | 150689 | OR | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 60130112 | WA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | A74067 | CA | — |

## Other

- **Enumeration date:** 09/11/2006
- **Last updated:** 05/01/2013