Individual
ISABEL RICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
970 SW 82ND AVE, MIAMI, FL 33144-4271
(305) 263-1075
(305) 263-1077
Mailing address
970 SW 82ND AVE, MIAMI, FL 33144-4271
(305) 263-1075
(305) 263-1077
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME90131
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1159193
COVENTRY
FL
01
—
13102
BCBS OF FL
FL
05
—
281267300
—
FL
Enumeration date
09/06/2006
Last updated
09/28/2013
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