Individual provider Active NPI

Bella Aurora Pacheco, MD

  • Plastic Surgery Physician
  • Miami, FL
National Provider Identifier
1952368359
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME83182 Issued in FL
Practice address
3661 S Miami Avenue
S602
Miami, FL 33134
Phone
(305) 854-1861
Fax
(305) 854-0178
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME83182 FL Primary

Addresses

Primary practice location

3661 S Miami Avenue
S602
Miami, FL 33134

Mailing address

3661 S Miami Avenue
S602
Miami, FL 33133
Phone (305) 854-1861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070523000488 FL Practitioner - Plastic and Reconstructive Surgery 4981701190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Icahn School of Medicine at Mount Sinai, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3100 S Douglas Rd
Coral Gables, FL 33134-6914
Phone (305) 445-8461

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Aurora Pacheco MD PA Plastic Surgery CurrentSince Aug 8, 2006 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3100 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 441-6868

3661 S Miami Ave
Ste 602
Miami, FL 33133
Phone (305) 200-3878

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

7815 SW 24th St
Ste 108
Miami, FL 33155
Phone (305) 264-1344

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952368359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVENUE",
            "address_2": "S602",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33133",
            "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": "3661 S MIAMI AVENUE",
            "address_2": "S602",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-854-1861",
            "fax_number": "305-854-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "BELLA",
        "middle_name": "AURORA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME83182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.