Provider Demographics
NPI:1962543991
Name:CERVANTES, LUZ ARMINDA (MD)
Entity type:Individual
Prefix:DR
First Name:LUZ
Middle Name:ARMINDA
Last Name:CERVANTES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LUZ
Other - Middle Name:ARMINDA
Other - Last Name:YANAYACO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:15 WOODBROOK CIR
Mailing Address - Street 2:
Mailing Address - City:HOLTSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11742-2423
Mailing Address - Country:US
Mailing Address - Phone:631-730-1995
Mailing Address - Fax:
Practice Address - Street 1:15 WOODBROOK CIR
Practice Address - Street 2:
Practice Address - City:HOLTSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11742-2423
Practice Address - Country:US
Practice Address - Phone:631-730-1995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-11
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2475132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry