# ISABEL RICO MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780613869
- **Authorized official:** ISABEL RICO MD (PRESIDENT)
- **Authorized official phone:** (305) 263-1075

## Contact information

- **Practice address:** 970 SW 82ND AVE, MIAMI, FL 33144-4271
- **Practice address phone:** (305) 263-1075
- **Practice address fax:** (305) 263-1077
- **Mailing address:** 970 SW 82ND AVE, MIAMI, FL 33144-4271
- **Mailing address phone:** (305) 263-1075
- **Mailing address fax:** (305) 263-1077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME90131 | FL | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 10/01/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 13102 | BCBS OF FL | FL |
| 05 | — | 281267300 | — | FL |
