Cielo Vista Medical Practice P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L8057 Issued in TX

Legal business name

CIELO VISTA MEDICAL PRACTICE P.A.

Practice address

21604 Cielo Ridge Dr
San Antonio, TX 78256-9604

Phone

(210) 683-1329

Fax

(210) 615-1636

NPI assigned

Jun 27, 2016

Organization subpart

No

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

Authorized official

Name

Serina Marie Flores, MD

Title

Owner/President

Phone

(210) 683-1329

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1154772531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29408",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782290408",
            "telephone_number": "210-615-1626",
            "fax_number": "210-615-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21604 CIELO RIDGE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782569604",
            "telephone_number": "210-683-1329",
            "fax_number": "210-615-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIELO VISTA MEDICAL PRACTICE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "SERINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "210-683-1329",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L8057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "L8057",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deena Cicoria
• Nubia Cid
• Christopher John Cieker, MD
• Carolina Cielak, P.A.
• Todd William Cielencki, PT
• Sonia I Ciena
• Jordan Nicole Cienski
• Diana Marcela Cifuentes, DENTAL HYGIENIST
• Francisco G Cigarroa, MD
• Cima Hospice of San Antonio

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.