Dr. Maria Cino – Internist / Geriatrician | Toronto, ON

Dr. Maria Cino, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in Toronto, ON, she serves the surrounding communities with a commitment to high-quality, patient-centered care. Her practice adheres strictly to the standards and guidelines set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring safe and ethical medical practice across all patient interactions. Dr. Cino provides comprehensive care in Internal Medicine and Geriatric Care, addressing the complex health needs of adult patients, including seniors and older adults.

She graduated with a Medical Degree from McMaster University in 1988, Canada, and completed extensive post-graduate medical training in Internal Medicine and Geriatrics. Her certifications include specialty recognition in both fields, along with ongoing professional development to stay current with evolving medical evidence and best practices. Dr. Cino’s training emphasizes a holistic, multidisciplinary approach to adult healthcare, integrating diagnostic precision with individualized management strategies.

Her clinical philosophy is rooted in evidence-based and informative medicine, aiming to optimize health outcomes through thorough assessment and tailored treatment plans. She is dedicated to serving the Toronto community, speaking English and Italian fluently, which helps her connect with a diverse patient population. Dr. Cino is committed to delivering compassionate, respectful, and effective care to enhance the quality of life for her patients.

Dr. Cino provides expert care for adults with a wide range of medical conditions, including:

Geriatric Syndromes & Focused Elder Care

• Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.
• Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.
• Falls, Mobility & Balance Disorders: Multifactorial assessment to identify causes of falls and gait instability; implementation of prevention strategies.

Management of Chronic Diseases

• Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.
• Chronic Respiratory Diseases: Care for conditions like COPD, asthma, and interstitial lung disease, focusing on optimizing lung function and managing symptoms.
• Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.

Complex Diagnostic & Multi-System Issues

• Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
• Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
• Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.

Dr. Cino manages a wide range of complex adult and geriatric health conditions. This list highlights common areas of focus. If your condition is not listed, please note that internal medicine specialists address diverse and often multi-systemic diseases. Consultation is typically initiated via referral from your primary care physician.

• Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.
• Cognitive and Memory Assessment: Detailed evaluation for concerns about memory loss or changes in thinking; diagnosis and management of dementia and mild cognitive impairment.
• Falls Risk Assessment and Prevention: Identifying factors contributing to falls in older adults and implementing strategies to improve balance, strength, and home safety.
• Comprehensive Diagnostic Assessment: In-depth evaluation for adults with complex, unclear, or multi-system medical conditions, involving detailed history, physical examination, and coordination of necessary investigations.
• Frailty Evaluation and Management: Assessing for frailty (increased vulnerability) and developing interventions to enhance resilience, function, and independence.

Note: This list represents some of the key services offered by Dr. Cino. As a specialist in Internal Medicine and Geriatric Care, she provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Cino's scope of practice, please discuss with your referring physician or contact the clinic.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO).

Dr. Cino's practice is located in the vibrant neighborhoods of Kensington Market, Chinatown, and Grange Park in Toronto. The location is easily accessible via public transportation, including the Toronto Transit Commission (TTC) subway, streetcar, and bus routes. Patients can access the clinic conveniently from various parts of the city. The facility is wheelchair accessible. Parking is available at the facility.

How is payment handled for appointments with Dr. Cino? Is it covered by Ontario Health Insurance Plan (OHIP)?

In ON, medical consultations with specialists like Dr. Cino are typically covered by your provincial health insurance (Ontario Health Insurance Plan (OHIP)) when you present a valid health card and have the required referral. You generally do not pay directly for the consultation service itself. Some specific procedures, forms, or administrative tasks might not be covered by Ontario Health Insurance Plan (OHIP) and may incur a separate fee according to provincial guidelines. Please inquire if you have questions about uninsured services.

Can I book an appointment directly or do I absolutely need a referral?

A referral from your family physician or another medical specialist is required to see Dr. Cino. As experts in Internal Medicine and Geriatric Care, Internists and Geriatricians see patients based on specific medical questions posed by the referring doctor. This ensures continuity of care and that the consultation is appropriate for your needs. Please have your doctor forward the referral information.

What is involved in a Comprehensive Geriatric Assessment (CGA)?

A CGA is a detailed evaluation specifically designed for older adults. It goes beyond standard medical checks to assess multiple domains including: medical conditions, medication review (polypharmacy), functional status (ability to perform daily tasks), mobility and fall risk, cognitive health (memory and thinking), mood (screening for depression/anxiety), nutrition, and social support systems. Dr. Cino uses this holistic approach to develop a personalized care plan.

Is Dr. Cino affiliated with a specific hospital?

Hospital privileges can vary. Dr. Cino may have admitting privileges or provide consultation services at Toronto general hospitals or other local hospitals. This affiliation allows for coordinated care if hospitalization is required. If you are admitted, the hospital team may consult Dr. Cino as needed, or she might be involved in your care depending on the specific hospital and service arrangements. Please confirm details with the office if needed.

Suite 308, 399 Bathurst Street - 8 MP, Rm 326
Toronto, ON M5T 2S8

Phone: (416) 603-5724 | Fax: (416) 603-5439

The facility is wheelchair accessible.

Dr. Cino is a licensed physician regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Medicine Act, 1991 in ON. Patients are typically seen by referral from their primary care physician.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Cino-Maria/0045921-59899