Provider Demographics
NPI:1689334591
Name:BELT, DYRON LACEDRIK SWAID
Entity Type:Individual
Prefix:
First Name:DYRON
Middle Name:LACEDRIK SWAID
Last Name:BELT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 IDA CT
Mailing Address - Street 2:
Mailing Address - City:FORESTVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20747-3947
Mailing Address - Country:US
Mailing Address - Phone:240-412-6399
Mailing Address - Fax:
Practice Address - Street 1:1369 SAVANNAH ST SE APT 9
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-5023
Practice Address - Country:US
Practice Address - Phone:202-938-6805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-20
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant