MEDICARE: ENDOBERM LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number	:	1851224950
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENDOBERM LLC

Provider Business Mailing Address
First Line	:	154 VIA CANAVERAL
Second Line	:	VILLA CARIBE
City	:	CAGUAS
State	:	PR
Zip	:	00727-3039
Country	:	US
Telephone Number	:	787-469-5946
Fax Number	:

Provider Business Practice Location Address
First Line	:	154 VIA CANAVERAL
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00727-3039
Country	:	US
Telephone Number	:	787-469-5946
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	JADAILINE BERMUDEZ SANTOS
Credential	:	MD
Telephone Number	:	787-469-5946

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “ENDOBERM LLC ” Practice Location

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