Provider Demographics
NPI:1164863049
Name:CERVANTES, ROBERTO FRANCISCO (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:FRANCISCO
Last Name:CERVANTES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:985582 NEBRASKA MEDICAL CTR # CU
Mailing Address - Street 2:DEPARTMENT OF PSYCHIATRY
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-5582
Mailing Address - Country:US
Mailing Address - Phone:402-552-6222
Mailing Address - Fax:
Practice Address - Street 1:985582 NEBRASKA MEDICAL CTR # CU
Practice Address - Street 2:DEPARTMENT OF PSYCHIATRY
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-5582
Practice Address - Country:US
Practice Address - Phone:402-552-6222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NETEP70492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry