Provider Demographics
NPI:1770794521
Name:BELLERO-ROBARE, PHILOMENA A (BCO)
Entity type:Individual
Prefix:MRS
First Name:PHILOMENA
Middle Name:A
Last Name:BELLERO-ROBARE
Suffix:
Gender:F
Credentials:BCO
Other - Prefix:MRS
Other - First Name:PHILOMENA
Other - Middle Name:ANN
Other - Last Name:BELLERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCO
Mailing Address - Street 1:1721 NW 19TH TER # 45B
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-1488
Mailing Address - Country:US
Mailing Address - Phone:561-222-9692
Mailing Address - Fax:561-933-0236
Practice Address - Street 1:7001 N FEDERAL HWY STE 20
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-1612
Practice Address - Country:US
Practice Address - Phone:561-222-9692
Practice Address - Fax:561-933-0236
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1700XEye and Vision Services ProvidersTechnician/TechnologistOcularist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYOTH000Medicare UPIN