Provider Demographics
NPI:1720780067
Name:BELLO GARCIA, NELSON D (CRNA)
Entity Type:Individual
Prefix:
First Name:NELSON D
Middle Name:
Last Name:BELLO GARCIA
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6801 SW 147TH AVE APT 4A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-1007
Mailing Address - Country:US
Mailing Address - Phone:305-773-3569
Mailing Address - Fax:
Practice Address - Street 1:6801 SW 147TH AVE APT 4A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-1007
Practice Address - Country:US
Practice Address - Phone:305-773-3569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL139324367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered