Federico Cervantez

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

CONTROL #10813 Issued in TX

Practice address

902 S 5TH St
Carrizo Springs, TX 78834-4206

Phone

(830) 876-2611

Fax

(830) 876-3776

NPI assigned

Feb 22, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Freddy Cervantez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1194098129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S 5TH ST",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788344206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S 5TH ST",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788344206",
            "telephone_number": "830-876-2611",
            "fax_number": "830-876-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTEZ",
        "first_name": "FEDERICO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "CONTROL #10813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FREDDY",
            "last_name": "CERVANTEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Harold Campbell
• Cane Grass Emergency Physicians PLLC
• Carrizo Springs Cisd
• Carrizo Springs Nursing and Rehabilitation LP
• Central Pharmacy, Inc.
• Christa Lynn Chapa, PHARMD, RPH
• Children'S Clinic of Dimmit and Zavala, P.a.
• Clinica Jesus Nazareno PLLC
• Community Services Agency of South Texas Inc
• Consulenza Familiare, LLC

• Student in an Organized Health Care Education/Training Program in Carrizo Springs, TX
• Providers in Carrizo Springs, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.