Organization
CIELO VISTA MEDICAL PRACTICE P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERINA MARIE FLORES MD (OWNER/PRESIDENT)
(210) 683-1329
Entity
Organization
Contact information
Practice address
21604 CIELO RIDGE DR, SAN ANTONIO, TX 78256-9604
(210) 683-1329
(210) 615-1636
Mailing address
PO BOX 29408, SAN ANTONIO, TX 78229-0408
(210) 615-1626
(210) 615-1636
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L8057
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L8057
LICENSE
TX
Enumeration date
06/27/2016
Last updated
03/22/2017
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