Liv Medical Partners PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

LIV MEDICAL PARTNERS PLLC

Doing business as

LIV Dermatology and Aesthetics

Practice address

3603 Paesanos Pkwy Ste 100
San Antonio, TX 78231-1268

Phone

(210) 504-9668

Fax

(210) 892-3872

NPI assigned

Jun 5, 2023

Last updated

Jun 5, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Milton Moore, MDNPI 1871888545

Title

Owner

Phone

(210) 504-9668

Specialties & licenses 1

Addresses

Other names 1

• LIV Dermatology and Aesthetics Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Milton Rahmon Moore, M.D.

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1871888545
  Medicare reassignment Care Compare group NPD Authorized official
• Tessa Jene Cervantes, M.D.

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1669731410
  Medicare reassignment Care Compare group NPD
• Anny Patricia Gonzalez, PA

  • Physician Assistant
  • San Antonio, TX
  • NPI 1770864134
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1639863533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 PAESANOS PKWY STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311268",
            "telephone_number": "210-504-9668",
            "fax_number": "210-892-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 PAESANOS PKWY STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311268",
            "telephone_number": "210-504-9668",
            "fax_number": "210-892-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIV MEDICAL PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MILTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-504-9668",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIV Dermatology and Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terri-Jeanne Esther Liu
• Xuan Liu
• Yang Liu
• Yiching Andrew Liu, M.D.
• Yuan Chao Liu, M.D.,/PHD (CHINA)
• Kari Kay Livanec, COTA
• Katherine Livatova, DO
• Live Laugh Love Club
• Live Oak Orthodontics PLLC
• Live Oak Psychiatric and Family Practice, PLLC

• Dermatology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.