Provider Demographics
NPI:1912755471
Name:MAURICIO, MARIA CLAUDIA (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:CLAUDIA
Last Name:MAURICIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 ANTILLA AVE, CORAL GABLES
Mailing Address - Street 2:APT 4
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134
Mailing Address - Country:US
Mailing Address - Phone:305-747-2553
Mailing Address - Fax:305-325-1282
Practice Address - Street 1:1611 NW 12 AVENUE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-585-1111
Practice Address - Fax:305-325-1282
Is Sole Proprietor?:No
Enumeration Date:2024-05-09
Last Update Date:2025-01-30
Deactivation Date:2025-01-10
Deactivation Code:
Reactivation Date:2025-01-30
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program