Charles R Cervantes Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

F3824 Issued in TX

Practice address

415 Palo Alto Rd
San Antonio, TX 78211-3742

Phone

(210) 923-4343

NPI assigned

Feb 28, 2007

Last updated

Aug 17, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

Baylor College of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
• Avir at San Antonio Nursing home, San Antonio, TX, CCN 455713
• Memorial Medical Nursing and Rehabilitation Nursing home, San Antonio, TX, CCN 455597

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charles R Cervantes Jr MD PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1538573860
  NPD (past) Authorized official
• Summit LTC San Antonio, LLC

  dba Sunrise Nursing & Rehab Center

  • Skilled Nursing Facility
  • San Antonio, TX
  • NPI 1679091508
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Summit LTC San Antonio, LLC

  dba Sunrise Nursing & Rehab Center

  • Skilled Nursing Facility
  • San Antonio, TX
  • NPI 1679091508

  Nursing home

  Care Compare affiliation
• Uvalde County Hospital Authority

  dba Memorial Medical Nursing and Rehabilitation

  • Skilled Nursing Facility
  • San Antonio, TX
  • NPI 1851412399

  Nursing home

  Care Compare affiliation
• VHS San Antonio Partners LLC

  dba Baptist Medical Center

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1598744856
  Care Compare affiliation

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1194852814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 PALO ALTO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 PALO ALTO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113742",
            "telephone_number": "210-923-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "CHARLES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F3824",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "F3824",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Cervantes, AGACNP-BC
• Angel Antonio Cervantes, FNP
• Angelica Nanez Cervantes, LCSW
• Ashley Cervantes
• Breeze Cervantes, LPC
• Davalyn Cervantes, RBT
• David Cervantes
• Eduardo Cervantes, MD
• Francisco D. Cervantes, M.D.
• Gilbert Roman Cervantes, FNP-C

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.