Healthcare Provider Details

I. General information

NPI: 1851224950
Provider Name (Legal Business Name): ENDOBERM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 VIA CANAVERAL
CAGUAS PR
00727-3039
US

IV. Provider business mailing address

154 VIA CANAVERAL VILLA CARIBE
CAGUAS PR
00727-3039
US

V. Phone/Fax

Practice location:
  • Phone: 787-469-5946
  • Fax:
Mailing address:
  • Phone: 787-469-5946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: JADAILINE BERMUDEZ SANTOS
Title or Position: PHYSICIAN
Credential: MD
Phone: 787-469-5946