Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ivelisse Y Sambolin Jessurun, MD

Individual provider General Practice Physician · NPI 1023202819

Dr. Ivelisse Y Sambolin Jessurun, MD is a Physical Medicine and Rehabilitation in Rio Piedras, Puerto Rico. Graduated from Ponce School of Medicine in 2007, 19 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Puerto Rico.

Years since qualifying
19
Trained at
Ponce School of Medicine
Licensed in
PR
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Cond Vick Center C101 Ave Munoz Rivera 806
Rio Piedras, PR 00925-0001
Phone: (787) 767-7370
Fax: (787) 979-9005

No coordinates on file. Search this address in Google Maps

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 18136 (PR)
General Practice Physician Taxonomy 208D00000X · Licence 18136 (PR)

Record details

NPI number1023202819
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 5, 2007
Last updated in NPPESNovember 30, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolPONCE SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rio Piedras