Provider Demographics
NPI:1730150707
Name:MONCADA, ARMANDO (MD)
Entity type:Individual
Prefix:DR
First Name:ARMANDO
Middle Name:
Last Name:MONCADA
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:PO BOX 749
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-1614
Mailing Address - Country:US
Mailing Address - Phone:956-994-0888
Mailing Address - Fax:956-630-3583
Practice Address - Street 1:1100 E DOVE AVE STE 400
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4684
Practice Address - Country:US
Practice Address - Phone:956-362-8160
Practice Address - Fax:956-362-8169
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG78532082S0105X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXR71COtherBCBS
TX126311304Medicaid
TXG7853OtherTMB