Healthcare Provider Details

I. General information

NPI: 1922821453
Provider Name (Legal Business Name): CIEZA MEDICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2024
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 LINTON BLVD STE 10A
DELRAY BEACH FL
33445-6501
US

IV. Provider business mailing address

304 INDIAN TRCE # 265
WESTON FL
33326-2996
US

V. Phone/Fax

Practice location:
  • Phone: 561-708-4488
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: NAPOLEON EDUARDO CIEZA RUBIO
Title or Position: OWNER
Credential: MD
Phone: 973-563-7290