Individual provider · Type 1 NPI

Jonathan Rafael Ibarra

Medical Physician Assistant · Bayamon, PR

NPI number 1114878907 Active

Practice location

Urbanizacion Lomas Verdes Avenida Laurel Z23
Bayamon, PR 00956-3244

Call (939) 625-3639 Map

Fax (939) 625-3639

Mailing address

Z23 Ave Laurel
Bayamon, PR 00956-3244

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2010142009

Medical Physician Assistant: Definition to come...

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About NPI 1114878907

Jonathan Rafael Ibarra's National Provider Identifier is 1114878907, issued on Feb 6, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bayamon, PR. The record was last updated on Feb 11, 2026.