Provider Demographics
NPI:1093972713
Name:GARCIA-BELLO, ALFONSO (MD)
Entity Type:Individual
Prefix:
First Name:ALFONSO
Middle Name:
Last Name:GARCIA-BELLO
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 1:629 SW 4TH ST
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-1971
Mailing Address - Country:US
Mailing Address - Phone:239-800-3028
Mailing Address - Fax:395-994-8932
Practice Address - Street 1:629 SW 4TH ST
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33991-1971
Practice Address - Country:US
Practice Address - Phone:239-800-3028
Practice Address - Fax:239-599-4893
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2021-03-29
Deactivation Date:2021-01-25
Deactivation Code:
Reactivation Date:2021-02-26
Provider Licenses
StateLicense IDTaxonomies
FLME108449208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist