Provider Demographics
NPI:1154566354
Name:BELE MEDICAL, INC.
Entity type:Organization
Organization Name:BELE MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RODRIGO
Authorized Official - Middle Name:M
Authorized Official - Last Name:BETTENCOURT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-431-2353
Mailing Address - Street 1:197 WARREN AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-4826
Mailing Address - Country:US
Mailing Address - Phone:401-431-2353
Mailing Address - Fax:401-654-5499
Practice Address - Street 1:197 WARREN AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-4826
Practice Address - Country:US
Practice Address - Phone:401-431-2353
Practice Address - Fax:401-654-5499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI00332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9880001Medicaid
657980001Medicare PIN