Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 1463942 | MI |
N | 208600000X | Surgeon | 1463942 | MI |
Y | 2082S0105X | Plastic Hand Surgeon | 13636 | PR |
NPI | 1528271384 |
---|---|
Provider Name | Dr. Gustavo Enrique Bello Rojas |
First Address | Anasco, PR 00610 |
Second Address | San German, PR 00683-3916 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 19/06/2020 |