Cervantes, Jose Antonio

Cervantes, Jose Antonio is an sole proprietor health care provider with primary practice located at 5301 E. Grant Rd , Tucson AZ 85712. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Cervantes, Jose Antonio can be contacted via phone (520) 342-5096.

Contact Information

Primary practice address
5301 E. Grant Rd Tucson AZ 85712
Phone: (520) 342-5096
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R76146 Arizona
Allopathic & Osteopathic Physicians / Dermatology 207N00000X S Texas

Profile Details

NPI number 1023548575
LBN Legal business name Cervantes, Jose Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2017
Last updated Feb 23rd, 2022 - about 2 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 1023548575 NPPES
Arizona MEDICAID R76146

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