Provider Demographics
NPI:1861779365
Name:MONTE CRISTO HEALTH CARE INC
Entity type:Organization
Organization Name:MONTE CRISTO HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROMMEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALCANTARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-771-8100
Mailing Address - Street 1:5959 GATEWAY BLVD W
Mailing Address - Street 2:STE 520
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-3331
Mailing Address - Country:US
Mailing Address - Phone:915-771-8100
Mailing Address - Fax:915-771-8103
Practice Address - Street 1:5959 GATEWAY BLVD W
Practice Address - Street 2:STE 520
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-3331
Practice Address - Country:US
Practice Address - Phone:915-771-8100
Practice Address - Fax:915-771-8103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-10
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health