NPIMap

Organization Active NPI

Cervantes Healthcare, LLLP

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Austin, TX
National Provider Identifier
1912025149
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
Legal business name
CERVANTES HEALTHCARE, LLLP
Practice address
5114 Balcones Woods Dr
Suite 307-347
Austin, TX 78759-5273
Phone
(512) 466-2621
Fax
(888) 550-6132
NPI assigned
Mar 26, 2007
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Dr. Cecilia Marina Cervantes, M.D.NPI 1114022753
Title
Medical Director
Phone
(512) 636-6119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J1631 TX
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X Primary

Addresses

Primary practice location

5114 Balcones Woods Dr
Suite 307-347
Austin, TX 78759-5273

Mailing address

5114 Balcones Woods Dr
Suite 307-347
Austin, TX 78759-5273
Phone (512) 466-2621

Other identifiers 3

IdentifierTypeStateIssuer
0029ENOtherTXBLUE CROSS PROVIDER #
1114022753OtherNPI - DR. CECILIA M. CERVANTES
124383405MedicaidTX

Other names 1

  • Cecilia M. Cervantes, MD, PA Former legal business name

National Provider Directory

National Provider Directory

Locations

5114 Balcones Woods Dr
Ste 307347
Austin, TX 78759
Phone (512) 466-2621

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1912025149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 BALCONES WOODS DR",
            "address_2": "SUITE 307-347",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595273",
            "telephone_number": "512-466-2621",
            "fax_number": "888-550-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 BALCONES WOODS DR",
            "address_2": "SUITE 307-347",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595273",
            "telephone_number": "512-466-2621",
            "fax_number": "888-550-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERVANTES HEALTHCARE, LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "CERVANTES",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "MARINA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "512-636-6119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J1631",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "0029EN",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - DR. CECILIA M. CERVANTES",
            "identifier": "1114022753",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124383405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cecilia M. Cervantes, MD, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.