Provider Demographics
NPI:1184650723
Name:BELMONTE, MARIA JESSICA (NP)
Entity type:Individual
Prefix:MISS
First Name:MARIA JESSICA
Middle Name:
Last Name:BELMONTE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PCS 80, BOX 13156
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96367
Mailing Address - Country:US
Mailing Address - Phone:611-730-4060
Mailing Address - Fax:
Practice Address - Street 1:18 MEDICAL OPERATIONS SQ FFM1N0(PAF)
Practice Address - Street 2:
Practice Address - City:KADENA
Practice Address - State:OKINAWA
Practice Address - Zip Code:96368-0000
Practice Address - Country:JP
Practice Address - Phone:01181611-730-4780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13284363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily