Provider Demographics
NPI:1912957572
Name:CIELO, DEUS (MD)
Entity Type:Individual
Prefix:
First Name:DEUS
Middle Name:
Last Name:CIELO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 845384
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02284-5384
Mailing Address - Country:US
Mailing Address - Phone:401-455-1749
Mailing Address - Fax:401-455-1292
Practice Address - Street 1:55 CLAVERICK ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4144
Practice Address - Country:US
Practice Address - Phone:401-490-4130
Practice Address - Fax:401-455-1292
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIMD10148207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
H04129Medicare UPIN