Individual provider Active NPI

Angel Antonio Cervantes, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1740892819
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143837 Issued in TX
Practice address
7031 Marbach Rd
San Antonio, TX 78227-1911
Phone
(210) 761-3393
NPI assigned
Aug 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP143837 TX Primary

Addresses

Primary practice location

7031 Marbach Rd
San Antonio, TX 78227-1911

Mailing address

11510 Lily Blair
San Antonio, TX 78253-6408
Phone (210) 381-0058

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201015002030 TX Practitioner - Nurse Practitioner 8921428772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

122 Saint Cloud Rd
San Antonio, TX 78228-5009
Phone (210) 764-5605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (SC) PC CurrentSince Sep 25, 2023 Accepting new patients
Conviva Medical Center Management of Texas, P.a. CurrentSince Sep 25, 2023 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

260 US Highway 181 N
Floresville, TX 78114
Phone (830) 393-8222

1567 Goliad Rd
San Antonio, TX 78223
Phone (726) 240-6950

122 Saint Cloud Rd
San Antonio, TX 78228
Phone (210) 761-3393

100 S Zarzamora St
San Antonio, TX 78207
Phone (210) 761-3393

4522 Fredericksburg Rd
Ste A14
San Antonio, TX 78201
Phone (210) 733-3005

9727 Poteet Jourdanton Fwy
Ste 108
San Antonio, TX 78211
Phone (210) 733-5072

7031 Marbach Rd
San Antonio, TX 78227
Phone (210) 761-3363

Interoperability endpoints

  • Direct secure messaging: angel.cervantes.1@29601.direct.athenahealth.com

Organizations & group practices 2

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": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1740892819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11510 LILY BLAIR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536408",
            "telephone_number": "210-381-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7031 MARBACH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782271911",
            "telephone_number": "210-761-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "ANGEL",
        "middle_name": "ANTONIO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.