Healthcare Provider Details

I. General information

NPI: 1285860080
Provider Name (Legal Business Name): RICARDO VINCENTE BELLERA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2009
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18980 W MEMORIAL DR STE 100
HUMBLE TX
77338-4559
US

IV. Provider business mailing address

18980 W MEMORIAL DR STE 100
HUMBLE TX
77338-4559
US

V. Phone/Fax

Practice location:
  • Phone: 346-770-4110
  • Fax: 855-227-3506
Mailing address:
  • Phone: 346-770-4110
  • Fax: 855-227-3506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberN3490
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberN3490
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberN3490
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: