Individual provider Active NPI

Livan Ruiz Ferrer, PA

  • Physician Assistant
  • San Juan, PR
National Provider Identifier
1821946336
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002953-P.A. Issued in PR
Practice address
Edificio GM Group, 3ER Piso 1590 Avenida Juan Ponce de
1590 Avenida Juan Ponce de Leon, Rio Piedras San Juan
San Juan, PR 00926
Phone
(787) 999-8989
NPI assigned
Mar 19, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002953-P.A. PR Primary

Addresses

Primary practice location

Edificio GM Group, 3ER Piso 1590 Avenida Juan Ponce de
1590 Avenida Juan Ponce de Leon, Rio Piedras San Juan
San Juan, PR 00926

Mailing address

2312 Wabasso Dr
West Palm Beach, FL 33409-6167
Phone (561) 913-3428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002953-P.A.PRMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1821946336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 WABASSO DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096167",
            "telephone_number": "561-913-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO GM GROUP, 3ER PISO 1590 AVENIDA JUAN PONCE DE",
            "address_2": "1590 AVENIDA JUAN PONCE DE LEON, RIO PIEDRAS SAN JUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-999-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ FERRER",
        "first_name": "LIVAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "002953-P.A.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.