Healthcare Provider Details

I. General information

NPI: 1588141162
Provider Name (Legal Business Name): PATRICIA VALCARCEL BELLO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2018
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15524 SW 72ND ST
MIAMI FL
33193-1900
US

IV. Provider business mailing address

9087 SW 153RD CT
MIAMI FL
33196-2933
US

V. Phone/Fax

Practice location:
  • Phone: 786-908-7371
  • Fax:
Mailing address:
  • Phone: 786-709-4361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: