Provider Demographics
NPI:1710903141
Name:ZARCO, ISIDORO (MD)
Entity Type:Individual
Prefix:
First Name:ISIDORO
Middle Name:
Last Name:ZARCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3230 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-1153
Mailing Address - Country:US
Mailing Address - Phone:305-443-3330
Mailing Address - Fax:305-443-1561
Practice Address - Street 1:3230 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-1153
Practice Address - Country:US
Practice Address - Phone:305-443-3330
Practice Address - Fax:305-443-1561
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME39131207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL96507Medicare ID - Type Unspecified
FLD63878Medicare UPIN