Alfeo Cervantes II, M.T.

Primary specialty

Medical TechnologistTaxonomy code 246QM0706X

License

TN39280 Issued in FL

Practice address

615 N Bonita Ave
Panama City, FL 32401-3623

Phone

(850) 747-6944

NPI assigned

Jul 19, 2010

Last updated

Jul 19, 2010By 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 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1841503927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 S HIGHWAY 22 A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324046849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N BONITA AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013623",
            "telephone_number": "850-747-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "ALFEO",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "M.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QB0000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Blood Banking",
            "state": "FL",
            "license": "TN39280",
            "primary": false
        },
        {
            "code": "246QC1000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Chemistry",
            "state": "NU",
            "license": "TN39280",
            "primary": false
        },
        {
            "code": "246QH0000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Hematology",
            "state": "FL",
            "license": "TN39280",
            "primary": false
        },
        {
            "code": "246QI0000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Immunology",
            "state": "FL",
            "license": "TN39280",
            "primary": false
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "FL",
            "license": "TN39280",
            "primary": true
        },
        {
            "code": "246QM0900X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Microbiology",
            "state": "FL",
            "license": "TN 39280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Technologist in Panama City, FL
• Providers in Panama City, FL by specialty
• Medical Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.