Provider Demographics
NPI:1588647069
Name:BELLVER ESPINOSA, ENRIQUE GUSTAVO SR (MD)
Entity Type:Individual
Prefix:DR
First Name:ENRIQUE
Middle Name:GUSTAVO
Last Name:BELLVER ESPINOSA
Suffix:SR
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:PO BOX 1805
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-1805
Mailing Address - Country:US
Mailing Address - Phone:787-866-1212
Mailing Address - Fax:787-866-3322
Practice Address - Street 1:3501 PORTALES DEL MONTE
Practice Address - Street 2:
Practice Address - City:COTO LAUREL
Practice Address - State:PR
Practice Address - Zip Code:00780-2036
Practice Address - Country:US
Practice Address - Phone:787-843-6253
Practice Address - Fax:787-843-6253
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-29
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16228208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice