Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mauro Jose Taveras Alcantara, MD

Individual provider Cardiovascular Disease Physician · NPI 1558898064

Mauro Jose Taveras Alcantara, MD is an Interventional Cardiology in Pine Bluff, Arkansas. Qualified in 2016, 10 years ago. Practices with Jefferson Hospital Association, Inc, a 79-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas and Illinois.

Years since qualifying
10
Licensed in
AR, IL
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1609 W 40th Ave Ste 403
Pine Bluff, AR 71603-6365
Phone: (870) 541-4285
Fax: (870) 541-4290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1601 W 40th Ave Ste 301, Pine Bluff, AR 71603-6346 — (870) 541-4285

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence E-17813 (AR)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 036.152621 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558898064
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 15, 2017
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Jefferson Hospital Association, Inc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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