Cervera, Roberto De Alba
Cervera, Roberto De Alba is an sole proprietor health care provider with primary practice located at 1951 Mesquite Ave Ste I , Lake Havasu City AZ 86403-5746. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Cervera, Roberto De Alba can be contacted via phone (928) 208-4300.Contact Information
Primary practice address
1951 Mesquite Ave Ste I
Lake Havasu City AZ 86403-5746
Phone: (928) 208-4300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 46351 | Arizona |
Profile Details
| NPI number | 1215174024 |
|---|---|
| LBN Legal business name | Cervera, Roberto De Alba |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2009 |
| Last updated | Jun 6th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215174024 | NPPES |
| Arizona | MEDICAID | 720565 |
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