Surelis Yolanda Martinez Cantillo

Nurse practitioner in Austin, Texas · NPI 1801629837

Surelis Martinez Cantillo is one of 1,162 nurse practitioners practicing in Austin, Texas. Surelis Martinez Cantillo practices with Blue Lotus Medical Group LLC.

Registry record (NPPES)

NPI
1801629837
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
155 Elm Forest Loop
Cedar Creek, TX 78612-4021
(512) 669-2418
Enumerated
Aug 23, 2024
Record last updated
Aug 23, 2024
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Nurse Practitioner
Revalidation due
No date set by CMS

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Practice locations

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.