Active NPI
Eric Cervantes
- Occupational Therapist
- Rancho Viejo, TX
National Provider Identifier
1366857153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 212048
- Practice address
- 913 Balboa Rd
Rancho Viejo, TX 78575-9647 - Phone
- (956) 698-9380
- NPI assigned
- Jul 1, 2014
- Last updated
- Jul 1, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 212048 | TX | Primary |
Addresses
Primary practice location
913 Balboa Rd
Rancho Viejo, TX 78575-9647
Mailing address
913 Balboa Rd
Rancho Viejo, TX 78575-9647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212048 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404172800000",
"number": "1366857153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 BALBOA RD",
"city": "RANCHO VIEJO",
"state": "TX",
"postal_code": "785759647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 BALBOA RD",
"city": "RANCHO VIEJO",
"state": "TX",
"postal_code": "785759647",
"telephone_number": "956-698-9380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERVANTES",
"first_name": "ERIC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-01",
"last_updated": "2014-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "212048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Viejo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.