Provider Demographics
NPI:1366315939
Name:BELLO MENDEZ, KRISTIAN (RD)
Entity type:Individual
Prefix:
First Name:KRISTIAN
Middle Name:
Last Name:BELLO MENDEZ
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 CALLE JANER
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00925-2710
Mailing Address - Country:US
Mailing Address - Phone:786-301-7359
Mailing Address - Fax:
Practice Address - Street 1:2105 EAST MLK BLVD #111
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702
Practice Address - Country:US
Practice Address - Phone:512-309-1650
Practice Address - Fax:737-358-3532
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered