Provider Demographics
NPI:1528271384
Name:BELLO ROJAS, GUSTAVO ENRIQUE (MD)
Entity type:Individual
Prefix:DR
First Name:GUSTAVO
Middle Name:ENRIQUE
Last Name:BELLO ROJAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 515
Mailing Address - Street 2:
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610
Mailing Address - Country:US
Mailing Address - Phone:787-986-7085
Mailing Address - Fax:787-986-7086
Practice Address - Street 1:50 AVE UNIV INTERAMERICANA
Practice Address - Street 2:
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-3916
Practice Address - Country:US
Practice Address - Phone:787-986-7085
Practice Address - Fax:787-986-7086
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR136362082S0105X
MI1463942208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery