Organization Active NPI

Livers Pediatric LLC

  • Pediatric Gastroenterology Physician
  • Guaynabo, PR
National Provider Identifier
1912896440
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
Legal business name
LIVERS PEDIATRIC LLC
Practice address
99 Carretera #2 Suite 108
Suchville Plaza
Guaynabo, PR 00966-2046
Phone
(787) 314-5475
Fax
(787) 504-5005
NPI assigned
Jun 30, 2025
Last updated
Nov 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Emille Reyes Santiago, MDNPI 1568613735
Title
Pediatric Gastroenterologist
Phone
(787) 314-5475

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X
Pediatric Gastroenterology Physician 2080P0206X Primary
Pediatric Transplant Hepatology Physician 2080T0004X

Addresses

Primary practice location

99 Carretera #2 Suite 108
Suchville Plaza
Guaynabo, PR 00966-2046

Mailing address

Urb Primavera
78 Paseo de Las Flores
Trujillo Alto, PR 00976-6076
Phone (787) 314-5475

Other practice location 1

Carr 2 km 11.7
Bayamon Medical Plaza Suite 803
Bayamon, PR 00959-7206
Phone (787) 474-8282

Other practice location 2

715 Ave Ponce De Leon # 37.5
San Juan, PR 00917-5032
Phone (787) 758-2000

Other identifiers 1

IdentifierTypeStateIssuer
1568613735OtherPRPHYSICIAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251212000023 PR Part B Supplier - Clinic/Group Practice 8224522669 Receives reassigned benefits from 1 practitioner
Practice locations: Bayamon, PR; San Juan, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1912896440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB PRIMAVERA",
            "address_2": "78 PASEO DE LAS FLORES",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766076",
            "telephone_number": "787-314-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CARRETERA #2 SUITE 108",
            "address_2": "SUCHVILLE PLAZA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662046",
            "telephone_number": "787-314-5475",
            "fax_number": "787-504-5005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 2 km 11.7",
            "address_2": "Bayamon Medical Plaza Suite 803",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009597206",
            "country_code": "US",
            "telephone_number": "787-474-8282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 Ave Ponce De Leon # 37.5",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009175032",
            "country_code": "US",
            "telephone_number": "787-758-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVERS PEDIATRIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "REYES SANTIAGO",
        "authorized_official_first_name": "EMILLE",
        "authorized_official_title_or_position": "PEDIATRIC GASTROENTEROLOGIST",
        "authorized_official_telephone_number": "787-314-5475",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080T0004X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Transplant Hepatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN",
            "identifier": "1568613735",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.