Organization Active NPI

Isabel Rico MD PA

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1780613869
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME90131 Issued in FL
Legal business name
ISABEL RICO MD PA
Practice address
970 SW 82ND Ave
Miami, FL 33144-4271
Phone
(305) 263-1075
Fax
(305) 263-1077
NPI assigned
Jul 1, 2006
Last updated
Oct 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Isabel Rico, MDNPI 1245333145
Title
President
Phone
(305) 263-1075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ME90131 FL Primary

Addresses

Primary practice location

970 SW 82ND Ave
Miami, FL 33144-4271

Mailing address

970 SW 82ND Ave
Miami, FL 33144-4271
Phone (305) 263-1075

Other identifiers 2

IdentifierTypeStateIssuer
13102OtherFLBCBS OF FL
281267300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070125000029 FL Part B Supplier - Clinic/Group Practice 8325049919 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

970 SW 82nd Ave
Miami, FL 33144
Phone (305) 263-1075

4801 S Congress Ave
Ste 201
Palm Springs, FL 33461
Phone (561) 649-8770

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1780613869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 SW 82ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444271",
            "telephone_number": "305-263-1075",
            "fax_number": "305-263-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 SW 82ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444271",
            "telephone_number": "305-263-1075",
            "fax_number": "305-263-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISABEL RICO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "RICO",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-263-1075",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME90131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "13102",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281267300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.