Active NPI
Jonathan Rafael Ibarra
- Medical Physician Assistant
- Bayamon, PR
National Provider Identifier
1114878907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2010142009
- Practice address
- Urbanizacion Lomas Verdes Avenida Laurel Z23
Bayamon, PR 00956-3244 - Phone
- (939) 625-3639
- Fax
- (939) 625-3639
- NPI assigned
- Feb 6, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2010142009 | Primary |
Addresses
Primary practice location
Urbanizacion Lomas Verdes Avenida Laurel Z23
Bayamon, PR 00956-3244
Mailing address
Z23 Ave Laurel
Bayamon, PR 00956-3244
Phone (939) 625-3639
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | hotmail | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ca Medical LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1114878907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "Z23 AVE LAUREL",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009563244",
"telephone_number": "939-625-3639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URBANIZACION LOMAS VERDES AVENIDA LAUREL Z23",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009563244",
"telephone_number": "939-625-3639",
"fax_number": "939-625-3639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBARRA",
"first_name": "JONATHAN",
"middle_name": "RAFAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-06",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": "2010142009",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "hotmail",
"affiliation": "N",
"endpointDescription": "hotmail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "URBANIZACION LOMAS VERDES AVENIDA LAUREL Z23",
"city": "BAYAMON",
"state": "PR",
"country_code": "US",
"postal_code": "009563244",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.