Provider Demographics
NPI:1245087188
Name:SEGURA, JUSTINE RICEL MANANGAN (MD)
Entity type:Individual
Prefix:DR
First Name:JUSTINE RICEL
Middle Name:MANANGAN
Last Name:SEGURA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JUSTINE RICEL
Other - Middle Name:DIMASIN
Other - Last Name:MANANGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:FAMILY MEDICINE CENTER
Mailing Address - Street 2:40 MEDICAL PARK SUITE 401
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003
Mailing Address - Country:US
Mailing Address - Phone:304-243-3880
Mailing Address - Fax:
Practice Address - Street 1:FAMILY MEDICINE CENTER
Practice Address - Street 2:40 MEDICAL PARK SUITE 401
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003
Practice Address - Country:US
Practice Address - Phone:304-243-3880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-30
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program