Provider Demographics
NPI:1194749259
Name:COHEN, CARLOS (MD)
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2999 NE 191ST ST STE 260
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-4925
Mailing Address - Country:US
Mailing Address - Phone:954-436-2200
Mailing Address - Fax:954-436-2262
Practice Address - Street 1:2999 NE 191ST ST STE 260
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-4925
Practice Address - Country:US
Practice Address - Phone:954-436-2200
Practice Address - Fax:954-436-2262
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME80295207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG82946Medicare UPIN
FL35253AMedicare ID - Type Unspecified