Active NPIIndividual providerSole proprietor

Jonathan R Ibarra

Physician Assistant, Medical in Bayamon, Puerto Rico

NPI Number1114878907
Practice location
Urbanizacion Lomas Verdes Avenida Laurel Z23, Bayamon, PR 00956-3244
Fax
939-625-3639
Last updated
February 11, 2026

Jonathan Rafael Ibarra is a Physician Assistant, Medical based in Bayamon, PR. Jonathan Rafael Ibarra practices in Bayamon, PR. The NPI Number for Jonathan Rafael Ibarra is 1114878907 and holds a License No. 2010142009. The current practice location address for Jonathan Rafael Ibarra is Urbanizacion Lomas Verdes Avenida Laurel Z23, Bayamon, PR 00956-3244 and can be reached out via phone at 939-625-3639 and via fax at 939-625-3639.

Provider Profile Details

NPI Number
1114878907
Provider Name
Jonathan Rafael Ibarra
Provider Entity Type
Individual
Gender
Male
Address
Urbanizacion Lomas Verdes Avenida Laurel Z23, Bayamon, PR 00956-3244
Phone Number
939-625-3639
Fax Number
939-625-3639
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 6, 2026
Last Update Date
February 11, 2026
Certification Date
February 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
Urbanizacion Lomas Verdes Avenida Laurel Z23
Bayamon, PR 00956-3244
Zip
00956-3244
Phone Number
939-625-3639
Fax Number
939-625-3639
Bayamon, PR 00956Get directions →

Provider Business Mailing Address Details

Address
Z23 Ave Laurel
Bayamon, PR 00956-3244
City
Bayamon
State
PR
Zip
00956-3244
Phone Number
939-625-3639

License Information

License Number
2010142009
Taxonomy
Physician Assistant, Medical · 363AM0700X · 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 Jonathan R Ibarra?

The NPI number of Jonathan R Ibarra is 1114878907. It was assigned on February 6, 2026 and is currently active in the NPPES registry.

What is the specialty of Jonathan R Ibarra?

Jonathan R Ibarra is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed under license number 2010142009.

Where does Jonathan R Ibarra practice?

The practice location is Urbanizacion Lomas Verdes Avenida Laurel Z23, Bayamon, PR 00956-3244. The office can be reached at 939-625-3639 (phone) or 939-625-3639 (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 1114878907 directly on the NPPES registry website.

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