Active NPIIndividual providerSole proprietor

Dr. Ivelisse Y Sambolin Jessurun, MD

Physical Medicine & Rehabilitation in Rio Piedras, Puerto Rico

NPI Number1023202819
Practice location
Cond Vick Center C101, Ave. Munoz Rivera 806, Rio Piedras, PR 00925-0001
Fax
787-979-9005
Last updated
November 30, 2016

Ivelisse Y Sambolin Jessurun is a Physical Medicine & Rehabilitation based in Rio Piedras, PR. Ivelisse Y Sambolin Jessurun practices in Rio Piedras, PR and has the professional credentials of MD. The NPI Number for Ivelisse Y Sambolin Jessurun is 1023202819 and holds a License No. 18136 (PR). The current practice location address for Ivelisse Y Sambolin Jessurun is Cond Vick Center C101, Ave. Munoz Rivera 806, Rio Piedras, PR 00925-0001 and can be reached out via phone at 787-767-7370 and via fax at 787-979-9005.

Provider Profile Details

NPI Number
1023202819
Provider Name
Ivelisse Y Sambolin Jessurun
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Cond Vick Center C101, Ave. Munoz Rivera 806, Rio Piedras, PR 00925-0001
Phone Number
787-767-7370
Fax Number
787-979-9005
Primary Taxonomy
Physical Medicine & Rehabilitation · 208100000X
Sole Proprietor
Yes
Provider Enumeration Date
September 5, 2007
Last Update Date
November 30, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
Cond Vick Center C101
Ave. Munoz Rivera 806
Rio Piedras, PR 00925-0001
Zip
00925-0001
Phone Number
787-767-7370
Fax Number
787-979-9005
Rio Piedras, PR 00925Get directions →

Provider Business Mailing Address Details

Address
Po Box 368105
San Juan, PR 00936-9105
City
San Juan
State
PR
Zip
00936-9105
Phone Number
787-550-3177
Fax Number
787-979-9005

License Information

License Number (1)
18136
License State (1)
PR
Taxonomy (1)
General Practice · 208D00000X
License Number (2)
18136
License State (2)
PR
Taxonomy (2)
Physical Medicine & Rehabilitation · 208100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ivelisse Y Sambolin Jessurun, MD?

The NPI number of Dr. Ivelisse Y Sambolin Jessurun, MD is 1023202819. It was assigned on September 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Ivelisse Y Sambolin Jessurun, MD?

Dr. Ivelisse Y Sambolin Jessurun, MD is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X), licensed in PR under license number 18136.

Where does Dr. Ivelisse Y Sambolin Jessurun, MD practice?

The practice location is Cond Vick Center C101, Ave. Munoz Rivera 806, Rio Piedras, PR 00925-0001. The office can be reached at 787-767-7370 (phone) or 787-979-9005 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023202819 directly on the NPPES registry website.

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