Provider Demographics
NPI:1790253318
Name:CARDIOVASCULAR AND THORACIC SOLUTIONS PLLC
Entity Type:Organization
Organization Name:CARDIOVASCULAR AND THORACIC SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:DE ALBA
Authorized Official - Last Name:CERVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:928-315-2796
Mailing Address - Street 1:1951 MESQUITE AVE STE I
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86403-5746
Mailing Address - Country:US
Mailing Address - Phone:928-208-4300
Mailing Address - Fax:
Practice Address - Street 1:1951 MESQUITE AVE
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86403-5746
Practice Address - Country:US
Practice Address - Phone:928-208-4300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-13
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty