Provider Demographics
NPI:1023248168
Name:MONTY & MUNIZ REHABILITATION SERVICES, INC
Entity type:Organization
Organization Name:MONTY & MUNIZ REHABILITATION SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FERNANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNIZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:915-598-2190
Mailing Address - Street 1:1600 N LEE TREVINO DR
Mailing Address - Street 2:C3
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-5169
Mailing Address - Country:US
Mailing Address - Phone:915-598-2190
Mailing Address - Fax:915-590-7222
Practice Address - Street 1:1600 N LEE TREVINO DR
Practice Address - Street 2:C3
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-5169
Practice Address - Country:US
Practice Address - Phone:915-598-2190
Practice Address - Fax:915-590-7222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health