Provider Demographics
NPI:1619975760
Name:MONARREZ, CARLOS NORBERTO (MD)
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:NORBERTO
Last Name:MONARREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:864 CENTRAL BLVD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-7595
Mailing Address - Country:US
Mailing Address - Phone:956-541-9827
Mailing Address - Fax:956-548-1005
Practice Address - Street 1:864 CENTRAL BLVD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-7551
Practice Address - Country:US
Practice Address - Phone:956-541-9827
Practice Address - Fax:956-548-1005
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE65302080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX88020GOtherBC/BS ID NUMBER
TXE77566Medicare UPIN
TX87032JMedicare ID - Type UnspecifiedMEDICARE ID NUMBER