Organization Active NPI

Endodontic Associates of Puerto Rico LLC

  • Endodontics
  • Caguas, PR
National Provider Identifier
1831980333
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
ENDODONTIC ASSOCIATES OF PUERTO RICO LLC
Practice address
50 Ave Luis Munoz Marin Ste 308
Caguas, PR 00725-3982
Phone
(787) 258-9080
NPI assigned
May 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Dr. Philip Clifton Shiere Jr., DMDNPI 1104356450
Title
Endodontist
Phone
(939) 323-4175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

50 Ave Luis Munoz Marin Ste 308
Caguas, PR 00725-3982

Mailing address

50 Ave Luis Munoz Marin Ste 308
Caguas, PR 00725-3982
Phone (939) 323-4175

Other practice location 1

400 Ave Fd Roosevelt Ste 307
San Juan, PR 00918-2162
Phone (787) 250-0907

National Provider Directory

National Provider Directory

Locations

50 Ave Luis Munoz Marin
Ste 308
Caguas, PR 00725
Phone (603) 817-1624

400 Ave Fd Roosevelt
Ste 307
San Juan, PR 00918
Phone (787) 250-0907

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1831980333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 AVE LUIS MUNOZ MARIN STE 308",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253982",
            "telephone_number": "939-323-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 AVE LUIS MUNOZ MARIN STE 308",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253982",
            "telephone_number": "787-258-9080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Ave Fd Roosevelt Ste 307",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009182162",
            "country_code": "US",
            "telephone_number": "787-250-0907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENDODONTIC ASSOCIATES OF PUERTO RICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "SHIERE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "CLIFTON",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "939-323-4175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "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 11, 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.