Basic Information
| Provider Information | |||||||||
| NPI: | 1346482635 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BELLO-QUINTERO | ||||||||
| FirstName: | CRISTINA | ||||||||
| MiddleName: | ELAINE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5961 NW 173RD DR | ||||||||
| Address2: | DEPT. OF MEDICINE, CENTRAL BLDG 600 D | ||||||||
| City: | HIALEAH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330155114 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055567500 | ||||||||
| FaxNumber: | 3055033476 | ||||||||
| Practice Location | |||||||||
| Address1: | 5961 NW 173RD DR | ||||||||
| Address2: | DEPT. OF MEDICINE, CENTRAL BLDG 600 D | ||||||||
| City: | HIALEAH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330155114 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055567500 | ||||||||
| FaxNumber: | 3055033476 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/01/2009 | ||||||||
| LastUpdateDate: | 10/02/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | PS32504 | FL | N | Pharmacy Service Providers | Pharmacist | 207R00000X | ME108436 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.