Basic Information
| Provider Information | |||||||||
| NPI: | 1164863049 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CERVANTES | ||||||||
| FirstName: | ROBERTO | ||||||||
| MiddleName: | FRANCISCO | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 985582 NEBRASKA MEDICAL CTR # CU | ||||||||
| Address2: | DEPARTMENT OF PSYCHIATRY | ||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681985582 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4025526222 | ||||||||
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| Practice Location | |||||||||
| Address1: | 985582 NEBRASKA MEDICAL CTR # CU | ||||||||
| Address2: | DEPARTMENT OF PSYCHIATRY | ||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681985582 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4025526222 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/08/2013 | ||||||||
| LastUpdateDate: | 07/12/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | TEP7049 | NE | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.