Dr. Jose Antonio Cervantes
Internist Dermatologist
5301 E. Grant Rd
Tucson
, Arizona 85712
Dr. Jose Antonio Cervantes
Internist Dermatologist
5301 E. Grant Rd
Tucson
, Arizona 85712
(210) 616-1095
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About
Features
Specialties
- Dermatologist
- Internist
Languages spoken
- English
Location
First Address
- Dr. Jose Antonio Cervantes
- 1 Baylor Plz
- Houston, TX
- Zip : 77030-3411
- Phone : (210) 616-1095
Second Address
- Dr. Jose Antonio Cervantes
- 5301 E. Grant Rd
- Tucson, AZ
- Zip : 85712
- Phone : (520) 342-5096
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | S | TX |
| N | 207R00000X | Internist | R76146 | AZ |
| N | 111NI0900X | Internist | R76146 | AZ |
National Provider Identifier
| NPI | 1023548575 |
|---|---|
| Provider Name | Dr. Jose Antonio Cervantes |
| First Address | Houston, TX 77030-3411 |
| Second Address | Tucson, AZ 85712 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/06/2017 |
| Last Update Date | 28/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| R76146 | (05) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.