Provider Demographics
NPI:1346482635
Name:BELLO-QUINTERO, CRISTINA ELAINE
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:ELAINE
Last Name:BELLO-QUINTERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5961 NW 173RD DR
Mailing Address - Street 2:DEPT. OF MEDICINE, CENTRAL BLDG 600 D
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-5114
Mailing Address - Country:US
Mailing Address - Phone:305-556-7500
Mailing Address - Fax:305-503-3476
Practice Address - Street 1:5961 NW 173RD DR
Practice Address - Street 2:DEPT. OF MEDICINE, CENTRAL BLDG 600 D
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-5114
Practice Address - Country:US
Practice Address - Phone:305-556-7500
Practice Address - Fax:305-503-3476
Is Sole Proprietor?:No
Enumeration Date:2009-04-01
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS32504183500000X
FLME108436207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No183500000XPharmacy Service ProvidersPharmacist