Healthcare Provider Details

I. General information

NPI: 1053248658
Provider Name (Legal Business Name): ALEJANDRO DANIEL BELLO RIVERO MSN, FNP-C, APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10697 NW 12TH MNR
PLANTATION FL
33322-6990
US

IV. Provider business mailing address

10697 NW 12TH MNR
PLANTATION FL
33322-6990
US

V. Phone/Fax

Practice location:
  • Phone: 954-638-5566
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11047225
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: