Provider Demographics
NPI:1912711938
Name:VALIDO, CIEL (BS, RT)
Entity type:Individual
Prefix:
First Name:CIEL
Middle Name:
Last Name:VALIDO
Suffix:
Gender:M
Credentials:BS, RT
Other - Prefix:
Other - First Name:CIEL RANDOLPH
Other - Middle Name:MACAPAGAL
Other - Last Name:VALIDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, RT
Mailing Address - Street 1:98 HAWTHORNE DR N APT 1G
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-3952
Mailing Address - Country:US
Mailing Address - Phone:302-200-1234
Mailing Address - Fax:
Practice Address - Street 1:98 HAWTHORNE DR N APT 1G
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320-3952
Practice Address - Country:US
Practice Address - Phone:302-200-1234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist