Organization
ISABEL RICO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISABEL RICO MD (PRESIDENT)
(305) 263-1075
Entity
Organization
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
—
13102
BCBS OF FL
FL
05
—
281267300
—
FL
Enumeration date
07/01/2006
Last updated
10/01/2012
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