Provider Demographics
NPI:1386717114
Name:COHEN, MAURICIO G (MD)
Entity type:Individual
Prefix:DR
First Name:MAURICIO
Middle Name:G
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 1:1321 NW 14TH ST STE 510
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-1659
Mailing Address - Country:US
Mailing Address - Phone:305-243-5554
Mailing Address - Fax:
Practice Address - Street 1:1321 NW 14TH ST STE 510
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1659
Practice Address - Country:US
Practice Address - Phone:305-243-5554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2003-00111207RC0000X
FLME0103197207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0005940-00Medicaid
NC891330PMedicaid
NCP00046014OtherRAIL ROAD MEDICARE
FL0005940-00Medicaid
NC891330PMedicaid