Provider Demographics
NPI:1427764414
Name:CIELO LINDO
Entity type:Organization
Organization Name:CIELO LINDO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:505-920-6031
Mailing Address - Street 1:2327 CALLE REINA
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-6909
Mailing Address - Country:US
Mailing Address - Phone:505-920-6031
Mailing Address - Fax:855-801-0685
Practice Address - Street 1:2327 CALLE REINA
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-6909
Practice Address - Country:US
Practice Address - Phone:505-920-6031
Practice Address - Fax:855-801-0685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM03590994003OtherGRT NUMBER