Organization Active NPI

Bella Aurora Pacheco MD PA

  • Plastic Surgery Physician
  • Miami, FL
National Provider Identifier
1124168356
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME83182 Issued in FL
Legal business name
BELLA AURORA PACHECO MD PA
Practice address
7171 Coral Way
Suite 519
Miami, FL 33155-1449
Phone
(305) 854-1861
Fax
(305) 854-0178
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bella A Pacheco, M.D.NPI 1952368359
Title
Physician/ President
Phone
(305) 854-1861

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X ME83182 FL Primary

Addresses

Primary practice location

7171 Coral Way
Suite 519
Miami, FL 33155-1449

Mailing address

7171 Coral Way
Suite 519
Miami, FL 33155-1449
Phone (305) 854-1861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070523000502 FL Part B Supplier - Clinic/Group Practice 9436256658 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Gables, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

7171 Coral Way
Ste 519
Miami, FL 33155
Phone (305) 854-1861

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1124168356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 CORAL WAY",
            "address_2": "SUITE 519",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551449",
            "telephone_number": "305-854-1861",
            "fax_number": "305-854-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 CORAL WAY",
            "address_2": "SUITE 519",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551449",
            "telephone_number": "305-854-1861",
            "fax_number": "305-854-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA AURORA PACHECO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "BELLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/ PRESIDENT",
        "authorized_official_telephone_number": "305-854-1861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME83182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.