JUAN JOSE MORENO (NPI# 1255453429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255453429 |
| Entity Type | Individual |
| Full Name | JUAN JOSE MORENO |
| Credential | P.A. |
| Practice Address |
122 N Alamo Rd Alamo TX 78516-2200 |
| Mailing Address |
1002 W Sam Houston St Suite 4 Pharr TX 78577-5224 |
| Practice Telephone | 9567826611 |
| Practice Fax Number | 9567821822 |
| Mailing Telephone | 9567831400 |
| Mailing Fax Number | 9567838818 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2014-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA03364 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750829594 | Juan Moreno | Assistant Behavior Analyst | 32968 Wildomar Rd, Lake Elsinore, CA 92530-4670 | 2017-01-31 |
| 1447640842 | Juan D Moreno | Physician Assistant | 15th Medical Group/family Medicine Clinic, 750 Scott Circle, Joint Base Pearl Hbr Hickam Afb, HI 96853-5399 | 2015-01-23 |
| 1841712767 | Juan C Moreno | Rehabilitation Practitioner | 9808 Venice Blvd, Suite 505, Culver City, CA 90232 | 2017-07-12 |
| 1609314012 | Juan Moreno | Case Manager/Care Coordinator | 160 S 7th Ave, La Puente, CA 91746-3211 | 2017-02-06 |
| 1841743820 | Juan Moreno | Counselor | 2250 Soquel Ave, Suite 100, Santa Cruz, CA 95062-1402 | 2016-07-26 |
| 1194133314 | Juan Moreno | Counselor | 1202 W Civic Center Dr Ste 205, Santa Ana, CA 92703-2251 | 2014-07-31 |
| 1861607145 | Juan Fernando Moreno | Physician Assistant | 1504 Taub Loop, Dept of Urology, Houston, TX 77030-1608 | 2007-05-11 |
| 1558449207 | Juan P. Moreno | Internal Medicine | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2006-11-01 |
| Street Address |
122 N ALAMO RD |
| City | ALAMO |
| State | TX |
| Zip Code | 78516-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477884054 | Mikel Schlotterback | Physician Assistant | 122 N Alamo Rd, Alamo, TX 78516-2215 | 2010-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819214 | Crystal Leanne Jones | Nurse Practitioner | 1226 West Austin Avenue, Alamo, TX 78516 | 2020-07-23 |
| 1336621168 | Deunta Jenkins | Physical Therapy Assistant | 1214 S Alamo Rd, Alamo, TX 78516 | 2018-08-29 |
| 1124505375 | Nancy Brendalee Garza | Specialist/Technologist | 118 S. 9th Pl., Alamo, TX 78516 | 2018-07-20 |
| 1528545712 | Teresita M. Lemus | Occupational Therapy Assistant | 118 S. 9th Place, Alamo, TX 78516 | 2018-07-20 |
| 1336632850 | Jose Ricardo Yanez Jr. | Counselor | 900 E Bowie Ave, Alamo, TX 78516 | 2018-06-09 |
| 1154842870 | Albert Caballero IIi | Student in an Organized Health Care Education/Training Program | 219 Caramel Dr, Alamo, TX 78516 | 2017-07-03 |
| 1003277377 | Julieta Quirino | Clinic/Center | 1040 West Ellis Ave, Alamo, TX 78516 | 2016-03-15 |
| 1700127545 | Richard Darko | Pharmacist | 1211 Hwy 83 E, Alamo, TX 78516 | 2013-03-04 |
| 1235488354 | Functional Therapeutics | Speech-Language Pathologist | 616 Vida Santa St, Alamo, TX 78516 | 2012-09-05 |
| 1831444801 | Victory Rehab LLC | Occupational Therapist | 1103 Acacia Ave, Alamo, TX 78516 | 2012-07-17 |
| Find all providers in zip 78516 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.