Individual provider Active NPI

Jessica Cervantes, MD

  • Dermatology Physician
  • Miami, FL
National Provider Identifier
1629637079
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME160615 Issued in FL
Practice address
4500 Biscayne Blvd Ste 101
Miami, FL 33137-3227
Phone
(305) 532-5552
Fax
(305) 534-5224
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME160615 FL Primary

Addresses

Primary practice location

4500 Biscayne Blvd Ste 101
Miami, FL 33137-3227

Mailing address

4500 Biscayne Blvd Ste 101
Miami, FL 33137-3227
Phone (305) 532-5552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20231009001224 FL Practitioner - Dermatology 8022345800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin and Cancer AssociatesGroup PAC ID 1759284847, 65 clinicians

Practice addresses (Care Compare)

4500 Biscayne Blvd
Suite 101
Miami, FL 33137-3227
Phone (305) 532-5552

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions51
Skin biopsy19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Skin and Cancer Associates Dermatology CurrentSince Feb 1, 2025 Accepting new patients
Skin Local Dermatology LLC Dermatology CurrentSince Jan 12, 2024 Accepting new patients
Pathology Medical Laboratories PastSince Nov 1, 2023 Accepting new patients

Locations

4500 Biscayne Blvd
Ste 101
Miami, FL 33137
Phone (305) 532-5552

9410 SW 77th Ave
Miami, FL 33156
Phone (786) 701-8106

2925 NE 199th St
Ste 205
Miami, FL 33180
Phone (305) 933-6716

4500 Biscayne Blvd
Ste 104
Miami, FL 33137
Phone (305) 576-6337

1560 Sawgrass Corporate Pkwy
Ste 220
Sunrise, FL 33323

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1629637079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 BISCAYNE BLVD STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373227",
            "telephone_number": "305-532-5552",
            "fax_number": "305-534-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BISCAYNE BLVD STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373227",
            "telephone_number": "305-532-5552",
            "fax_number": "305-534-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME160615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.