Provider Demographics
NPI:1477872349
Name:BELLO, CARLOS JOSE (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:JOSE
Last Name: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 1:7171 CORAL WAY
Mailing Address - Street 2:SUITE 307
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155
Mailing Address - Country:US
Mailing Address - Phone:786-502-8449
Mailing Address - Fax:786-420-5500
Practice Address - Street 1:7171 CORAL WAY
Practice Address - Street 2:SUITE 307
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155
Practice Address - Country:US
Practice Address - Phone:786-502-8449
Practice Address - Fax:786-420-5500
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME116931207P00000X, 208600000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFB4076104OtherDEA