CLINICA ANGELES – NPI #1891931457
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

CLINICA ANGELES is a provider located in BELLAIRE, TX. NPPES has assigned the NPI number 1891931457 to CLINICA ANGELES on December 31, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLINICA ANGELES” is a dba name, the actual legal business name for this organization is MARIO CERVANTES, M.D., PA. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 13 years ago on Nov 19, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLINICA ANGELES below.

NPI Profile for
MARIO CERVANTES, M.D., PA

NPI Number
1891931457
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARIO CERVANTES, M.D., PA
Doing Business As (dba): CLINICA ANGELES
Primary location
4922 LOCUST ST
BELLAIRE, TX 77401-4040
Phone: (832) 638-6072 Fax: (888) 327-1505
Mailing address
5210 MAPLE ST
BELLAIRE, TX 77401
Phone: (832) 638-6072 Fax: (888) 327-1505
Organization Subpart
No
Authorized Official
MARIO CERVANTES
PRESIDENT
Phone: (832) 638-6072
Updated
Identifiers

Identifiers for CLINICA ANGELES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCLIATX45D2028678
MEDICAIDTX200034101
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
TX H7953
207ZP0102X
- Pathology / Anatomic Pathology & Clinical Pathology
TX H7953
207ZH0000X
- Pathology / Hematology
TX H7953

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.