Organization Active NPI

Caio Goncalves PA

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1023218450
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME97694 Issued in FL
Legal business name
CAIO GONCALVES PA
Practice address
11030 SW 88TH St Ste 200
Miami, FL 33176-1220
Phone
(305) 271-3131
Fax
(305) 595-8043
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Caio Goncalves, M.D.
Title
President
Phone
(305) 271-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME97694 FL Primary

Addresses

Primary practice location

11030 SW 88TH St Ste 200
Miami, FL 33176-1220

Mailing address

11030 SW 88TH St Ste 200
Miami, FL 33176-1220
Phone (305) 271-3131

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1023218450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 SW 88TH ST STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761220",
            "telephone_number": "305-271-3131",
            "fax_number": "305-595-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 SW 88TH ST STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761220",
            "telephone_number": "305-271-3131",
            "fax_number": "305-595-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAIO GONCALVES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "GONCALVES",
        "authorized_official_first_name": "CAIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-271-3131",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME97694",
            "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 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.