Organization
MI CIELITO LINDO, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN CERVANTES (OWNER/DIRECTOR)
(210) 621-7450
Entity
Organization
Contact information
Practice address
1655 E. PRICE RD, SUITE A, BROWNSVILLE, TX 78521
(956) 621-2525
(956) 550-8183
Mailing address
1655 E. PRICE RD, SUITE A, BROWNSVILLE, TX 78521
(956) 621-2525
(956) 550-8183
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
305R00000X
Preferred Provider Organization
120420
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001511
STATE LICENSE
TX
Enumeration date
06/04/2007
Last updated
08/02/2019
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