Destination Endoclinic JSV LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

DESTINATION ENDOCLINIC JSV LLC

Practice address

Urb El Recreo Bloque F4
Multiclinicasendocrinologia Hospital Menonita
Humacao, PR 00791-3230

Phone

(787) 662-5255

NPI assigned

Jul 16, 2025

Last updated

Sep 6, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jamilisse Segarra Villafane, MDNPI 1396394870

Title

Endocrinologist

Phone

(787) 983-1198

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamilisse Segarra-Villafane, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Humacao, PR
  • NPI 1396394870

  Single Specialty

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757116800000",
    "number": "1861384851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 6090",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009539689",
            "telephone_number": "787-983-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB EL RECREO BLOQUE F4",
            "address_2": "MULTICLINICASENDOCRINOLOGIA HOSPITAL MENONITA",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913230",
            "telephone_number": "787-662-5255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Sargento Israel Malaret Juarbe 418",
            "address_purpose": "LOCATION",
            "city": "Utuado",
            "state": "PR",
            "postal_code": "00641",
            "country_code": "US",
            "telephone_number": "787-894-5919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "B7 Calle Santa Cruz",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009616902",
            "country_code": "US",
            "telephone_number": "787-662-5255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DESTINATION ENDOCLINIC JSV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A",
        "authorized_official_last_name": "SEGARRA VILLAFANE",
        "authorized_official_first_name": "JAMILISSE",
        "authorized_official_title_or_position": "ENDOCRINOLOGIST",
        "authorized_official_telephone_number": "787-983-1198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Humacao, PR
• Providers in Humacao, PR by specialty
• Endocrinology, Diabetes & Metabolism Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.