Active NPI
Livmed Clinic LLC
- General Practice Physician
- Miami, FL
National Provider Identifier
1265308456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- LIVMED CLINIC LLC
- Practice address
- 11980 SW 144TH CT Ste 6
Miami, FL 33186-8601 - Phone
- (787) 404-2017
- NPI assigned
- Oct 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jean Carlos Tamayo Acosta, MD
- Title
- President
- Phone
- (787) 404-2017
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
11980 SW 144TH CT Ste 6
Miami, FL 33186-8601
Mailing address
11980 SW 144TH CT Ste 6
Miami, FL 33186-8601
Phone (787) 404-2017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11980 SW 144th Ct
Ste 6
Miami, FL 33186
Phone (787) 404-2017
11980 SW 144th Ct
Ste 206
Miami, FL 33186
Phone (786) 818-7169
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760400000000",
"number": "1265308456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11980 SW 144TH CT STE 6",
"city": "MIAMI",
"state": "FL",
"postal_code": "331868601",
"telephone_number": "787-404-2017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11980 SW 144TH CT STE 6",
"city": "MIAMI",
"state": "FL",
"postal_code": "331868601",
"telephone_number": "787-404-2017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVMED CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-14",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A",
"authorized_official_last_name": "TAMAYO ACOSTA",
"authorized_official_first_name": "JEAN",
"authorized_official_middle_name": "CARLOS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-404-2017",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.