Cervantes, Jose

Cervantes, Jose is an individual health care provider with primary practice located at 13420 Jamaica Ave , Jamaica NY 11418-2619. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Cervantes, Jose can be contacted via phone (718) 206-6742.

Contact Information

Primary practice address
13420 Jamaica Ave Jamaica NY 11418-2619
Phone: (718) 206-6742
Fax: (718) 206-6905
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 159085 New York
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 159085 New York

Profile Details

NPI number 1144283458
LBN Legal business name Cervantes, Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Jan 17th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144283458 NPPES
New York MEDICAID 01013372

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