Provider Demographics
NPI:1356587422
Name:MONTE CARLO TRADING LLC
Entity type:Organization
Organization Name:MONTE CARLO TRADING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PARASKEVI
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDERAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-472-3215
Mailing Address - Street 1:10940 S PARKER RD
Mailing Address - Street 2:B-333
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-7440
Mailing Address - Country:US
Mailing Address - Phone:720-204-1851
Mailing Address - Fax:720-851-1962
Practice Address - Street 1:2353 SAGEBRUSH ST
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-4230
Practice Address - Country:US
Practice Address - Phone:720-204-1851
Practice Address - Fax:720-851-1962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-19
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies