Active NPIIndividual providerSole proprietor

Jessica B Ibarra, MD

General Practice in San Juan, Puerto Rico

NPI Number1114247855
Practice location
Ave. Ponce De Leon Torre Medica Auxilio Mutuo Suite 815, San Juan, PR 00918
Fax
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Last updated
September 27, 2023

Jessica B. Ibarra is a General Practice based in San Juan, PR. Jessica B. Ibarra practices in San Juan, PR and has the professional credentials of MD. The NPI Number for Jessica B. Ibarra is 1114247855 and holds a License No. 17206 (PR). The current practice location address for Jessica B. Ibarra is Ave. Ponce De Leon Torre Medica Auxilio Mutuo Suite 815, San Juan, PR 00918 and can be reached out via phone at 787-936-2228.

Provider Profile Details

NPI Number
1114247855
Provider Name
Jessica B. Ibarra
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Ave. Ponce De Leon Torre Medica Auxilio Mutuo Suite 815, San Juan, PR 00918
Phone Number
787-936-2228
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 4, 2010
Last Update Date
September 27, 2023
Certification Date
September 26, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
Ave. Ponce De Leon Torre Medica Auxilio Mutuo Suite 815
San Juan, PR 00918
Zip
00918
Phone Number
787-936-2228
San Juan, PR 00918Get directions →

Provider Business Mailing Address Details

Address
La Milagrosa B6 Urb Garcia Ponce
Fajardo, PR 00380
City
Fajardo
State
PR
Zip
00380
Phone Number
787-447-9711

License Information

License Number (1)
17206
License State (1)
PR
Taxonomy (1)
Personal Emergency Response Attendant · 146D00000X
License Number (2)
17206
License State (2)
PR
Taxonomy (2)
General Practice · 208D00000X · 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 Jessica B Ibarra, MD?

The NPI number of Jessica B Ibarra, MD is 1114247855. It was assigned on June 4, 2010 and is currently active in the NPPES registry.

What is the specialty of Jessica B Ibarra, MD?

Jessica B Ibarra, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 17206.

Where does Jessica B Ibarra, MD practice?

The practice location is Ave. Ponce De Leon Torre Medica Auxilio Mutuo Suite 815, San Juan, PR 00918. The office can be reached at 787-936-2228 (phone).

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 1114247855 directly on the NPPES registry website.

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