Provider Demographics
NPI:1720490113
Name:ACADEMIA CESAR CHEVEZ CHARTER SCHOOL
Entity Type:Organization
Organization Name:ACADEMIA CESAR CHEVEZ CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:HERNAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MONCODA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-778-2940
Mailing Address - Street 1:1800 AMES AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55119-4830
Mailing Address - Country:US
Mailing Address - Phone:651-778-2940
Mailing Address - Fax:
Practice Address - Street 1:1800 AMES AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55119-4830
Practice Address - Country:US
Practice Address - Phone:651-778-2940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-20
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)