Provider Demographics
NPI:1194460683
Name:MONARCA PROVIDER SERVICES, LLC
Entity Type:Organization
Organization Name:MONARCA PROVIDER SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SERRATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-956-4661
Mailing Address - Street 1:PO BOX 5175
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78523-5175
Mailing Address - Country:US
Mailing Address - Phone:956-466-1477
Mailing Address - Fax:
Practice Address - Street 1:1284 SANDY HILL DR
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-9204
Practice Address - Country:US
Practice Address - Phone:956-466-1477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-29
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251E00000XAgenciesHome Health