Provider Demographics
NPI:1114660727
Name:CERVANTES, YAJAIRA (FNP)
Entity Type:Individual
Prefix:
First Name:YAJAIRA
Middle Name:
Last Name:CERVANTES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5230 ROGERS RD BLDG 2
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-3771
Mailing Address - Country:US
Mailing Address - Phone:210-523-7237
Mailing Address - Fax:210-523-7234
Practice Address - Street 1:5230 ROGERS RD
Practice Address - Street 2:BLDG 2
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-3688
Practice Address - Country:US
Practice Address - Phone:210-523-7237
Practice Address - Fax:210-523-7234
Is Sole Proprietor?:No
Enumeration Date:2022-04-20
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1049389363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily