Provider Demographics
NPI:1306034095
Name:CORA, GABRIELA (MD, MBA)
Entity Type:Individual
Prefix:DR
First Name:GABRIELA
Middle Name:
Last Name:CORA
Suffix:
Gender:F
Credentials:MD, MBA
Other - Prefix:DR
Other - First Name:GABRIELA
Other - Middle Name:
Other - Last Name:CORA-LOCATELLI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:680 GRAND CONCOURSE
Mailing Address - Street 2:
Mailing Address - City:MIAMI SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33138-2474
Mailing Address - Country:US
Mailing Address - Phone:305-762-7632
Mailing Address - Fax:
Practice Address - Street 1:8101 BISCAYNE BLVD., LOFT 516
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33138
Practice Address - Country:US
Practice Address - Phone:305-762-7632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME773212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry