Dr. Ivelisse Y Sambolin Jessurun
General Practice Physician Physical Medicine & Rehabilitation Doctor
Cond Vick Center C101 Ave. Munoz Rivera 806
Rio Piedras
, Puerto Rico 00925-0001
Dr. Ivelisse Y Sambolin Jessurun
General Practice Physician Physical Medicine & Rehabilitation Doctor
Cond Vick Center C101 Ave. Munoz Rivera 806
Rio Piedras
, Puerto Rico 00925-0001
(787) 979-9005
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Ivelisse Y Sambolin Jessurun
- Po Box 368105
- San Juan, PR
- Zip : 00936-9105
- Fax : (787) 979-9005
- Phone : (787) 550-3177
Second Address
- Dr. Ivelisse Y Sambolin Jessurun
- Cond Vick Center C101 Ave. Munoz Rivera 806
- Rio Piedras, PR
- Zip : 00925-0001
- Fax : (787) 979-9005
- Phone : (787) 767-7370
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 18136 | PR |
| N | 208D00000X | General Practice Physician | 18136 | PR |
National Provider Identifier
| NPI | 1023202819 |
|---|---|
| Provider Name | Dr. Ivelisse Y Sambolin Jessurun |
| First Address | San Juan, PR 00936-9105 |
| Second Address | Rio Piedras, PR 00925-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/09/2007 |
| Last Update Date | 30/11/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.