JESSICA B. IBARRA M.D.
NPI 1114247855
General Practice in San Juan, PR
About Jessica B. Ibarra M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA B. IBARRA M.D. (NPI 1114247855) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (17206) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessica B. Ibarra M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jessica Ibarra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Juan, PR 00917
- Reassigned Medicare billing, Puerto Rico enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jessica Ibarra's NPI number?
The NPI number for Jessica Ibarra is 1114247855. It was assigned to this individual provider in the NPPES registry on June 4, 2010.
Where is Jessica Ibarra located?
Jessica Ibarra practices at Ave. Ponce De Leon Torre Medica Auxilio Mutuo Suite 815, San Juan, PR 00918. The listed phone number is (787) 936-2228.
What is Jessica Ibarra's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Jessica Ibarra enrolled in Medicare?
Yes. Jessica Ibarra is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jessica Ibarra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Ibarra reassigns Medicare benefits to Arraut Healthcare Institute LLC (San Juan, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Ibarra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jessica Ibarra was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jessica B. Ibarra, M.D. · NPI 1114247855
General Practice physician in San Juan, Puerto Rico. Individual provider, active in the CMS NPPES registry since June 4, 2010.
## Identity
- **NPI:** 1114247855 (Entity type: Individual)
- **Enumerated:** June 4, 2010
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 17206 (Puerto Rico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** AVE. PONCE DE LEON TORRE MEDICA AUXILIO MUTUO SUITE 815, San Juan, PR 00918
- **Phone:** (787) 936-2228
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Arraut Healthcare Institute LLC (NPI 1811621253, San Juan, PR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 27, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1114247855) · Data from the CMS NPPES public registry.