Organization Active NPI

Centro de Microendodoncia de Puerto Rico

  • Endodontics
  • Caguas, PR
National Provider Identifier
1376918714
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
CENTRO DE MICROENDODONCIA DE PUERTO RICO
Practice address
500 Ave Degetau
Hima Plaza I Suite 313
Caguas, PR 00725-7301
Phone
(787) 653-6210
Fax
(787) 653-5846
NPI assigned
Dec 10, 2015
Last updated
Jun 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2025

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

Authorized official

Name
Dr. Dannelly B Gonzalez, D.M.D.NPI 1508190943
Title
Endodontist
Phone
(787) 688-8389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

500 Ave Degetau
Hima Plaza I Suite 313
Caguas, PR 00725-7301

Mailing address

500 Ave Degetau
Hima Plaza I Suite 313
Caguas, PR 00725-7301
Phone (787) 653-6210

National Provider Directory

National Provider Directory

Locations

500 Ave Degetau
Ste 313
Caguas, PR 00725
Phone (787) 653-6210

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751068800000",
    "number": "1376918714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 AVE DEGETAU",
            "address_2": "HIMA PLAZA I SUITE 313",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257301",
            "telephone_number": "787-653-6210",
            "fax_number": "787-653-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 AVE DEGETAU",
            "address_2": "HIMA PLAZA I SUITE 313",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257301",
            "telephone_number": "787-653-6210",
            "fax_number": "787-653-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE MICROENDODONCIA DE PUERTO RICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DANNELLY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "787-688-8389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.