Ivan Alexis Licea Tamayo, MD is a family medicine in Montgomery, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Ivan Alexis Licea Tamayo, MD NPI is 1669895223. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4371 NARROW LANE RD
MONTGOMERY, AL
ZIP 36116-971
Phone: (334) 613-3680
The NPI 1669895223 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/31/2014 and was last updated on 1/31/2014.