Healthcare Provider Details

I. General information

NPI: 1578145264
Provider Name (Legal Business Name): LIDIA OFELIA BELLO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2021
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 W FLAGLER ST STE 210
MIAMI FL
33144-6002
US

IV. Provider business mailing address

8333 NW 53RD ST FL 6
DORAL FL
33166-4783
US

V. Phone/Fax

Practice location:
  • Phone: 305-553-0270
  • Fax: 786-522-6915
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberACN1368
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: