Active NPI
Tiva LLC
- Pain Medicine (Anesthesiology) Physician
- San Juan, PR
National Provider Identifier
1265159131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- TIVA LLC
- Practice address
- 361 Ave Escorial
Urb Caparra Heights
San Juan, PR 00920-3508 - Phone
- (787) 781-7478
- NPI assigned
- Oct 21, 2022
- Last updated
- Apr 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eduardo Irizarry Nieves, MD
- Title
- President
- Phone
- (787) 608-7368
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | NU | Primary |
Addresses
Primary practice location
361 Ave Escorial
Urb Caparra Heights
San Juan, PR 00920-3508
Mailing address
PO Box 367284
San Juan, PR 00936-7284
Phone (787) 608-7368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
361 Ave Escorial
San Juan, PR 00920
Phone (787) 500-8855
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pain Medicine (Anesthesiology) Physician
- San Juan, PR
- NPI 1972035269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775779200000",
"number": "1265159131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 367284",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009367284",
"telephone_number": "787-608-7368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 AVE ESCORIAL",
"address_2": "URB CAPARRA HEIGHTS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009203508",
"telephone_number": "787-781-7478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIVA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-21",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A",
"authorized_official_last_name": "IRIZARRY NIEVES",
"authorized_official_first_name": "EDUARDO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-608-7368",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NU",
"license": null,
"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 Apr 10, 2026; 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.