Healthcare Provider Details

I. General information

NPI: 1003950973
Provider Name (Legal Business Name): CARDIOLOGY & CARDIOVASCULAR CONSULTANTS LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7020 SMOKE RANCH RD STE 150
LAS VEGAS NV
89128-3111
US

IV. Provider business mailing address

7020 SMOKE RANCH RD STE 150
LAS VEGAS NV
89128-3111
US

V. Phone/Fax

Practice location:
  • Phone: 702-258-1601
  • Fax: 702-870-1995
Mailing address:
  • Phone: 702-258-1601
  • Fax: 702-870-1995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: HEATHER RUGGEROLI
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 702-258-1601