Individual provider Active NPI

Maria Luisa Nieves Tirado, MD, FAAP

  • Pediatrics Physician
  • Naranjito, PR
National Provider Identifier
1043625007
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
19685 Issued in PR
Practice address
Carr 152 KM 12.2
Barrio Pedro Arriba
Naranjito, PR 00719
Phone
(787) 869-1290
Fax
(787) 867-5210
NPI assigned
Jun 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 19685 PR Primary
Pediatrics Physician 208000000X 31449-R PR

Addresses

Primary practice location

Carr 152 KM 12.2
Barrio Pedro Arriba
Naranjito, PR 00719

Mailing address

PO Box 515
Naranjito, PR 00719-0515
Phone (787) 869-5900

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19685PRMDPediatrics Physician
31449-RPRMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: sjcmaniev@yourcarecommunity.org

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1043625007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007190515",
            "telephone_number": "787-869-5900",
            "fax_number": "787-869-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 152 KM 12.2",
            "address_2": "BARRIO PEDRO ARRIBA",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "00719",
            "telephone_number": "787-869-1290",
            "fax_number": "787-867-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES TIRADO",
        "first_name": "MARIA",
        "middle_name": "LUISA",
        "credential": "MD, FAAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-27",
        "last_updated": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "19685",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "31449-R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranjito, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.