Provider Demographics
NPI:1710575659
Name:BELLIDO MARRERO, ADNALOY
Entity Type:Individual
Prefix:
First Name:ADNALOY
Middle Name:
Last Name:BELLIDO MARRERO
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 1:8320 NW 8TH ST APT 204
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3918
Mailing Address - Country:US
Mailing Address - Phone:786-326-9451
Mailing Address - Fax:
Practice Address - Street 1:8320 NW 8TH ST APT 204
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3918
Practice Address - Country:US
Practice Address - Phone:786-326-9451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician