Physician Profile

Ivan A. Licea Tamayo, MD

Unclaimed Profile

About Dr. Licea Tamayo

Ivan A. Licea Tamayo, MD is a healthcare provider in Montgomery, AL specializing in family practice. Ivan is also listed as specializing in family medicine. This provider record is associated with NPI 1669895223.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

Medical School Other Graduated: 1988

Specialty

Family Practice (Primary)
Family Medicine (Additional)

Credentials & Licensing

AL licenceAs reported to the NPI registry
No. L3510RAs reported
FL licenceAs reported to the NPI registry
No. ME 118521As reported
NPINational Provider Identifier
1669895223Issued 2014

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Dr. Licea Tamayo's specialty?

Dr. Licea Tamayo is a family practice in Montgomery, AL. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Dr. Licea Tamayo?

Dr. Licea Tamayo is listed at 4371 Narrow Lane Rd, Montgomery, AL 36116. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Dr. Licea Tamayo?

The number on file is (334) 613-3680. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Dr. Licea Tamayo?

Dr. Licea Tamayo's National Provider Identifier is 1669895223. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Dr. Licea Tamayo's medical education?

Dr. Licea Tamayo attended Other, graduating in 1988. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Dr. Licea Tamayo have?

Dr. Licea Tamayo has 38 years experience. Calculated from a graduation year of 1988, reported in the CMS National Downloadable File.

CMS public data

Is Dr. Licea Tamayo's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Licea Tamayo. If this is you, claiming it is free.

Guide.md

Guide.md listings do not constitute medical advice or an endorsement.