Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Infusion |
251F00000X | |||
Home Infusion Therapy Pharmacy |
3336H0001X | 58 | Medical Supply Company with Pharmacist | |
Infusion Therapy |
163WI0500X |
| NPI # | 1992646475 |
| LBN Legal business name | CIELO VISTA MOBILE MEDICAL INFUSION SERVICES |
| Authorized official | MELISSA CHAVEZ - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/01/2026 |
| Last updated | 04/01/2026 - About 2 months ago |
| Identifiers | n/a |
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