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General NPI Number Information
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NPI Number | 1992646475
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Entity Type | Organization
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Legal Business Name | CIELO VISTA MOBILE MEDICAL INFUSION SERVICES
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 7324 NAGOYA RD NE
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City | RIO RANCHO
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State | NM
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Zip | 87144-3530
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Country | US
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Telephone | 505-440-3037
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Fax |
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Provider Business Mailing Address
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Address Line | 7324 NAGOYA RD NE
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City | RIO RANCHO
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State | NM
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Zip | 87144-3530
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Country | US
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Telephone | 505-440-3037
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. MELISSA E CHAVEZ
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Credential |
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Telephone | 505-440-3037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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