Individual
JONATHAN RAFAEL IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
URBANIZACION LOMAS VERDES AVENIDA LAUREL Z23, BAYAMON, PR 00956-3244
(939) 625-3639
(939) 625-3639
Mailing address
Z23 AVE LAUREL, BAYAMON, PR 00956-3244
(939) 625-3639
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2010142009
—
Other
Enumeration date
02/06/2026
Last updated
02/11/2026
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