Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740509678 Individual Practitioner Male Practitioner

Dr. Mauricio Ribeiro Costa , DDS

Dentist - General Practice • Miami, FL

Professional Overview & Biography Verified Profile Summary

Dr. Mauricio Costa, DDS is a registered healthcare professional specializing in Dentist - General Practice in Miami, FL. Practice services are available at 1400 NW 12TH AVE STE 2005 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1400 Nw 12th Ave Ste 2005

Miami, FL 331361003

Telephone 3056891125

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Miami, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
530 Specialists

Practicing in Miami, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN20062

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Lorena Gomez Salinas

Student in an Organized Health Care Education/Training Program

NPI 1619770856

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Business Mailing Address May 13, 2026

Registered at 2901 NE 1ST AVE APT 516, MIAMI, FL 331375319

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2024

Dentist (License #DN20062 in FL)

📍
Updated Practice Location May 16, 2022

Registered at 1400 NW 12TH AVE STE 2005, MIAMI, FL 331361003 (Tel: 3056891125)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2022

Dentist (License #0401413846 in VA)

📍
Updated Business Mailing Address August 01, 2019

Registered at 460 NE 28TH ST APT 606, MIAMI, FL 331374667

📍
Updated Practice Location April 18, 2018

Registered at UM HOSPITAL, 1400 NW 12TH AVE, SUITE 2005, MIAMI, FL 33136 (Tel: 3056891126)

📍
Updated Business Mailing Address April 18, 2018

Registered at 10301 W 32ND LN, HIALEAH, FL 330182090

👤
Provider Name / Credentials Updated April 18, 2018

Recorded as MAURICIO COSTA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2018

Dentist (License #DN20062 in FL)

NPI Profile Active August 14, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2015

Registered at 9380 SW 150TH ST, SUITE 170, MIAMI, FL 331767947 (Tel: 3052565270)

📍
Updated Business Mailing Address August 14, 2015

Registered at 9380 SW 150TH ST, SUITE 170, MIAMI, FL 331767947

👤
Provider Name / Credentials Updated August 14, 2015

Recorded as MAURICIO COSTA, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2015

Dentist (License #DN20062 in FL)

🟢
Initial NPI Registration & Enumeration May 17, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740509678
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2010
Last Update: May 13, 2026
Sole Proprietor: No

Mailing Address

2901 Ne 1st Ave Apt 516

Miami, FL 331375319

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.