Organization Active NPI

Livmed Clinic LLC

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1265308456
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Jean Carlos Tamayo Acosta, MDNPI 1558007260
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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20251119000654 FL Part B Supplier - Clinic/Group Practice 5294226098 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.