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MR. PETER MORENO IV SOIDC
NPI 1043595861
Military Health Care Provider - Independent Duty Corpsman in Camp Lejeune, NC

Active since October 12, 2011
PSC BOX 20183, 2D MARINE SPECIAL OPERATIONS BATTALION, CAMP LEJEUNE, NC 28542(910) 440-7704 Get Directions Write a Review

NPPES record last updated: October 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Peter Moreno Iv Soidc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PETER MORENO IV SOIDC (NPI 1043595861) is an individual independent duty corpsman provider in Camp Lejeune, North Carolina and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1043595861
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. PETER MORENO IVCredential: SOIDC
Location AddressPSC BOX 20183, 2D MARINE SPECIAL OPERATIONS BATTALIONCamp Lejeune, NC 28542-0116
Mailing AddressPsc Box 20183, 2d Marine Special Operations BattalionCamp Lejeune, NC 28542-0183 · (910) 440-7704
Phone(910) 440-7704
Sole ProprietorYes
Enumeration DateOctober 12, 2011
✔ NPI 1043595861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
PSC BOX 20183, Camp Lejeune, NC 28542
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIKITA DERYABIN TUCKER
Military Health Care Provider (Independent Duty Corpsman)
PSC BOX 20183
CAMP LEJEUNE, NC 28542
Onslow County (910) 440-7704
FRANK ANTHONY ZAMBIK
Military Health Care Provider (Independent Duty Medical Technicians)
PSC BOX 20183
CAMP LEJEUNE, NC 28542
Onslow County (910) 440-7704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Moreno's NPI number?

The NPI number for Peter Moreno is 1043595861. It was assigned to this individual provider in the NPPES registry on October 12, 2011.

Where is Peter Moreno located?

Peter Moreno practices at Psc Box 20183 2D Marine Special Operations Battalion, Camp Lejeune, NC 28542. The listed phone number is (910) 440-7704.

What is Peter Moreno's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Peter Moreno was last updated on October 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.