Organization
LIVERS PEDIATRIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILLE REYES SANTIAGO MD (PEDIATRIC GASTROENTEROLOGIST)
(787) 314-5475
Entity
Organization
Contact information
Practice address
99 CARRETERA #2 SUITE 108, SUCHVILLE PLAZA, GUAYNABO, PR 00966-2046
(787) 314-5475
(787) 504-5005
Mailing address
URB PRIMAVERA, 78 PASEO DE LAS FLORES, TRUJILLO ALTO, PR 00976-6076
(787) 314-5475
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
2080T0004X
Pediatric Transplant Hepatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568613735
PHYSICIAN
PR
Enumeration date
06/30/2025
Last updated
11/10/2025
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