Provider Demographics
NPI:1376684159
Name:RALPH MUNOZ DBA MI FAMILIA ADC
Entity Type:Organization
Organization Name:RALPH MUNOZ DBA MI FAMILIA ADC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:956-787-3881
Mailing Address - Street 1:2109 N RAUL LONGORIA RD
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589-3429
Mailing Address - Country:US
Mailing Address - Phone:956-787-3881
Mailing Address - Fax:956-787-3891
Practice Address - Street 1:2109 N RAUL LONGORIA RD
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:TX
Practice Address - Zip Code:78589-3429
Practice Address - Country:US
Practice Address - Phone:956-787-3881
Practice Address - Fax:956-787-3891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116231261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care