DR. CECILIA MARINA CERVANTES (NPI# 1114022753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114022753 |
| Entity Type | Individual |
| Full Name | DR. CECILIA MARINA CERVANTES |
| Credential | M.D. |
| Practice Address |
5114 Balcones Woods Dr Suite 307-347 Austin TX 78759-5273 |
| Mailing Address |
5114 Balcones Woods Dr Ste 307-347 Austin TX 78759-5273 |
| Practice Telephone | 5124662621 |
| Practice Fax Number | 8885506132 |
| Mailing Telephone | 5126674343 |
| Mailing Fax Number | 5122496119 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | J1631 | TX | Allopathic & Osteopathic Physicians |
| N | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
26062004 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CIGNA PROVIDER NUMBER | 6127379 | 01 |
| TX | BLUE CROSS NUMBER | 0029EN | 01 |
| AETNA PROVIDER NUMBER | 4299864 | 01 | |
| TX | BLUE CROSS PROVIDER # | 8AJ946 | 01 |
| TX | 124383405 | 05 | |
| TX | TAX ID | 80-0881204 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316953581 | Cecilia D Cervantes | Pediatrics | 12239 135th Ave, South Ozone Park, NY 11420-3238 | 2006-07-31 |
| Street Address |
5114 BALCONES WOODS DR SUITE 307-347 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-5273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932177680 | Sandra Kay Brougher | Physical Therapy Assistant | 5114 Balcones Woods Dr, #306, Austin, TX 78759 | 2006-03-09 |
| 1225427727 | Bcd Dental Group | Dentist | 5114 Balcones Woods Dr, Austin, TX 78759-5273 | 2015-01-21 |
| 1447666391 | Christina Shaw | Dentist | 5114 Balcones Woods Dr, Suite 308, Austin, TX 78759-5273 | 2014-07-10 |
| 1215368733 | Laurie Elaine Dulaney | Veterinarian | 5114 Balcones Woods Dr, Suite 312, Austin, TX 78759-5212 | 2013-12-09 |
| 1700175452 | Julia Devier-scott Skinner | Physical Therapist | 5114 Balcones Woods Dr, Ste. 306, Austin, TX 78759-5273 | 2011-04-04 |
| 1780993550 | Elizabeth Susan Calabria | Physical Therapist | 5114 Balcones Woods Dr, Suite 306, Austin, TX 78759-5273 | 2010-09-28 |
| 1235454406 | Jennifer Yasu Stone | Physical Therapist | 5114 Balcones Woods Dr, Suite 306, Austin, TX 78759-5273 | 2010-03-31 |
| 1558576017 | Town and Country Physical Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 5114 Balcones Woods Dr, Suite 306, Austin, TX 78759-5273 | 2007-05-10 |
| 1912025149 | Cervantes Healthcare, Lllp | Internal Medicine | 5114 Balcones Woods Dr, Suite 307-347, Austin, TX 78759-5273 | 2007-03-26 |
| 1154408318 | Texas Physical Therapy Specialists | Occupational Therapist | 5114 Balcones Woods Dr, #306, Austin, TX 78759-5273 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
| Find all providers in zip 78759 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989109 | 3d Regeneration LLC | Internal Medicine | 11610 Bee Caves Rd Ste 230, Austin, TX 78738-5457 | 2020-10-16 |
| 1982210571 | Kim L Rowlands | Internal Medicine | 6101 E Oltorf, None, Austin, TX 78704-7875 | 2020-09-18 |
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1528674561 | Knight Doctor Pllc | Internal Medicine | 1401 Eva St Apt 304, Austin, TX 78704-3069 | 2020-09-16 |
| 1306467956 | Jason Russell Paxman | Internal Medicine | Dell Seton Medical Center 1500 Red River, Austin, TX 78701 | 2020-05-05 |
| 1265095160 | Marcos Daniel Villarreal | Internal Medicine | Ut Austin Dell Medical School Seton Internal Medicine, 1500 Red River (dell Seton Medical Center), Austin, TX 78701-1918 | 2019-04-16 |
| 1609368653 | Elain Loquias | Internal Medicine | 1500 Red River St Ste 2.320, Austin, TX 78701 | 2018-06-05 |
| 1851883581 | Suely J Roman Lopez | Internal Medicine | Ut Austin Dell Medical School Internal Medicine, Dell Seaton Medical Center 1500 Red River, Austin, TX 78701 | 2018-05-30 |
| 1265922264 | Devin Leslie | Internal Medicine | Dell Seton Medical Center, 1500 Red River, Austin, TX 78701 | 2018-05-15 |
| 1821585340 | Thrive Physicians Pllc | Internal Medicine | 2217 Park Bend Dr Ste 210, Austin, TX 78758-5674 | 2018-04-19 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.