# DESTINATION ENDOCLINIC JSV LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861384851
- **Authorized official:** DR. JAMILISSE SEGARRA VILLAFANE MD (ENDOCRINOLOGIST)
- **Authorized official phone:** (787) 983-1198

## Contact information

- **Practice address:** URB EL RECREO BLOQUE F4, MULTICLINICASENDOCRINOLOGIA HOSPITAL MENONITA, HUMACAO, PR 00791-3230
- **Practice address phone:** (787) 662-5255
- **Mailing address:** RR 2 BOX 6090, TOA ALTA, PR 00953-9689
- **Mailing address phone:** (787) 983-1198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2025
- **Last updated:** 09/06/2025
