Individual ProviderJimena CervantesFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address903 W Martin, Skin Clinic, San Antonio, TX 78207(210) 358-3441(210) 358-9500PECOS EnrollmentBased on the most recent information from CMS, provider Jimena Cervantes is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1558715813Provider TypeIndividualFull NameCervantes, JimenaTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date4/22/2016Last Updated1/29/2021Contact InformationPractice LocationPractice Address903 W Martin, Skin Clinic, San Antonio, TX 78207Phone(210) 358-3441Fax(210) 358-5944Mailing LocationMailing AddressPO Box 734812, Dallas, TX 75373-4812Phone(210) 358-9500Fax(210) 358-9183Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseS1369TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer