Individual provider Active NPI

Caio Victor Vercoza De Macedo Furtado, MD

  • Student in an Organized Health Care Education/Training Program
  • North Lauderdale, FL
National Provider Identifier
1295429561
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
6037 Kimberly Blvd
North Lauderdale, FL 33068-2811
Phone
(954) 379-8994
NPI assigned
Jun 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

6037 Kimberly Blvd
North Lauderdale, FL 33068-2811

Mailing address

6037 Kimberly Blvd
North Lauderdale, FL 33068-2811
Phone (954) 379-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20230822004051 FL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3072976190

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1395 NW 167TH St
Miami, FL 33169-5710

800 Meadows Rd
Boca Raton, FL 33486-2368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: caio.furtado.1@26289.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1295429561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6037 KIMBERLY BLVD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682811",
            "telephone_number": "954-379-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6037 KIMBERLY BLVD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682811",
            "telephone_number": "954-379-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MACEDO FURTADO",
        "first_name": "CAIO VICTOR",
        "middle_name": "VERCOZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.