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Organization

TIVA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDUARDO IRIZARRY NIEVES MD (PRESIDENT)
(787) 608-7368
Entity
Organization

Contact information

Practice address
361 AVE ESCORIAL, URB CAPARRA HEIGHTS, SAN JUAN, PR 00920-3508
(787) 781-7478
Mailing address
PO BOX 367284, SAN JUAN, PR 00936-7284
(787) 608-7368

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary

Other

Enumeration date
10/21/2022
Last updated
04/10/2026
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