Healthcare Provider Details

I. General information

NPI: 1891962932
Provider Name (Legal Business Name): MS. JACLYN SALVADOR BELLO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JACLYN SALVADOR RN, BSN, RNFA

II. Dates (important events)

Enumeration Date: 05/08/2008
Last Update Date: 05/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9055 SW 87TH AVE SUITE 305
MIAMI FL
33176-2306
US

IV. Provider business mailing address

9055 SW 87TH AVE SUITE 305
MIAMI FL
33176-2306
US

V. Phone/Fax

Practice location:
  • Phone: 305-270-1361
  • Fax:
Mailing address:
  • Phone: 941-321-9035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9169182
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: