Provider Demographics
NPI:1891094579
Name:BELLO, ABEL ENRIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:ABEL
Middle Name:ENRIQUE
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 1:730 NE 191ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-3922
Mailing Address - Country:US
Mailing Address - Phone:786-916-3621
Mailing Address - Fax:786-916-3621
Practice Address - Street 1:201 NW 82ND AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-7808
Practice Address - Country:US
Practice Address - Phone:888-362-9902
Practice Address - Fax:800-518-6513
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-21
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME123276208600000X
NY60.284987-1208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLII471YMedicare PIN
FLII471XMedicare PIN
FLII471ZMedicare PIN