Luciol D Livette, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN1565 Issued in FL

Practice address

109 N Doverplum Ave
Kissimmee, FL 34758-3309

Phone

(407) 943-8600

Fax

(833) 464-3641

NPI assigned

Feb 13, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: luciol.livette.1@26532.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/26532/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Salud Integral En la Montana, Inc

  • Federally Qualified Health Center (FQHC)
  • Orocovis, PR
  • NPI 1487677159
  Medicare reassignment
• Salud Integral En la Montana, Inc.

  • Federally Qualified Health Center (FQHC)
  • Barranquitas, PR
  • NPI 1316970833
  Medicare reassignment
• Primary Care Medical Services of Poinciana Inc

  • Federally Qualified Health Center (FQHC)
  • Kissimmee, FL
  • NPI 1376093609
  NPD
• Primary Care Medical Services of Poinciana Inc

  • Federally Qualified Health Center (FQHC)
  • Kissimmee, FL
  • NPI 1407481039
  NPD
• Primary Care Medical Services of Poinciana Inc

  • Federally Qualified Health Center (FQHC)
  • Kissimmee, FL
  • NPI 1982002945
  NPD (past)
• Asociacion Hospital del Maestro Inc

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1750385571
  NPD (past)

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1023409984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1877 FORTUNE RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444428",
            "telephone_number": "407-943-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N DOVERPLUM AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347583309",
            "telephone_number": "407-943-8600",
            "fax_number": "833-464-3641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Sergio Cuevas Bustamante Street #550",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00918",
            "country_code": "US",
            "telephone_number": "787-758-8383 x8494",
            "fax_number": "787-763-9758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4303 Cameron Preserve Cir",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347466304",
            "country_code": "US",
            "telephone_number": "407-943-8600",
            "fax_number": "833-464-3623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVETTE",
        "first_name": "LUCIOL",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-13",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19121",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121624600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alfredo Lisboa Salcedo, ARNP
• Ellarie Lisbon
• Anne Marie Littell, DO
• John Thomas Littell, M.D.
• Liuvit Aldama Garofalo LLC.
• Rene Livingston
• Eliza Liz
• Idalys D Llanes
• Carmen D Llanos Padilla, MA, CPT, B.HLTH.SCI
• Gloria Lliran

• General Practice Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.