Provider Demographics
NPI:1588535132
Name:BELLO GUERRA, ANA LIZ LIZ
Entity type:Individual
Prefix:
First Name:ANA LIZ
Middle Name:LIZ
Last Name:BELLO GUERRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3620 SW 114TH AVE APT 109
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3355
Mailing Address - Country:US
Mailing Address - Phone:407-285-1906
Mailing Address - Fax:
Practice Address - Street 1:15000 SW 72ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-2301
Practice Address - Country:US
Practice Address - Phone:305-387-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL69556183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist