1770794521 NPI number — MRS. PHILOMENA A BELLERO-ROBARE B.C.O.

Table of content: MRS. PHILOMENA A BELLERO-ROBARE B.C.O. (NPI 1770794521)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770794521 NPI number — MRS. PHILOMENA A BELLERO-ROBARE B.C.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BELLERO-ROBARE
Provider First Name:
PHILOMENA
Provider Middle Name:
A
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
B.C.O.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BELLERO
Provider Other First Name:
PHILOMENA
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
B.C.O.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1770794521
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/26/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1721 NW 19TH TER # 45B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DELRAY BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33445-1488
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-222-9692
Provider Business Mailing Address Fax Number:
561-933-0236

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7001 N FEDERAL HWY STE 20
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOCA RATON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33487-1612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-222-9692
Provider Business Practice Location Address Fax Number:
561-933-0236
Provider Enumeration Date:
05/24/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 156FX1700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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