MEDICARE: LIV MED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083B0002X	Obesity Medicine (Preventive Medicine) Physician

General Provider Information

NPI Number	:	1669196192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIV MED

Provider Business Mailing Address
First Line	:	E21 CAMINO DE BEGONIAS
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00961-3973
Country	:	US
Telephone Number	:	787-404-2017
Fax Number	:

Provider Business Practice Location Address
First Line	:	28 CALLE SANTA CRUZ
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00961-6906
Country	:	US
Telephone Number	:	787-235-8492
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENTE
Name	:	JEAN TAMAYO ACOSTA
Credential	:	MD
Telephone Number	:	787-404-2017

Provider Enumeration Date	:	09/28/2022
Last Update Date	:	06/04/2026

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Directions to “LIV MED ” Practice Location

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