Provider Demographics
NPI:1528175684
Name:DEL PUERTO, BELKIS C (DMD)
Entity type:Individual
Prefix:DR
First Name:BELKIS
Middle Name:C
Last Name:DEL PUERTO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11402 NW 41ST ST
Mailing Address - Street 2:SUITE 214
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-4859
Mailing Address - Country:US
Mailing Address - Phone:305-597-2227
Mailing Address - Fax:305-591-5702
Practice Address - Street 1:11402 NW 41ST ST
Practice Address - Street 2:SUITE 214
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-4859
Practice Address - Country:US
Practice Address - Phone:305-597-2227
Practice Address - Fax:305-591-5702
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN142811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice