Organization Active NPI

Monte Cristo Family Clinic Inc

  • Family Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1174702872
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
647801 Issued in TX
Legal business name
MONTE CRISTO FAMILY CLINIC INC
Practice address
3002 N Closner Blvd Ste B
Edinburg, TX 78541-7162
Phone
(956) 383-8300
Fax
(956) 383-3006
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Riad Ali Aboujamous, N.P.NPI 1255386058
Title
Owner
Phone
(956) 383-8300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 647801 TX Primary

Addresses

Primary practice location

3002 N Closner Blvd Ste B
Edinburg, TX 78541-7162

Mailing address

3002 N Closner Blvd Ste B
Edinburg, TX 78541-7162
Phone (956) 383-8300

Other identifiers 2

IdentifierTypeStateIssuer
0071MYOtherTXBCBS
176908501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051020000099 TX Part B Supplier - Clinic/Group Practice 8022034990 Receives reassigned benefits from 3 practitioners
Practice locations: Edinburg, TX

National Provider Directory

National Provider Directory

Locations

3002 N Closner Blvd
#B
Edinburg, TX 78541
Phone (956) 383-8300

3002 N Closner Blvd
Ste B
Edinburg, TX 78541
Phone (956) 383-8300

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1174702872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 N CLOSNER BLVD STE B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785417162",
            "telephone_number": "956-383-8300",
            "fax_number": "956-383-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 N CLOSNER BLVD STE B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785417162",
            "telephone_number": "956-383-8300",
            "fax_number": "956-383-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTE CRISTO FAMILY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "ABOUJAMOUS",
        "authorized_official_first_name": "RIAD",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-383-8300",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "647801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0071MY",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176908501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.