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MARIO MORENO ANP
NPI 1720042385
Family Medicine in Douglas, AZ

Active since April 12, 2006
1100 F AVE, DOUGLAS, AZ 85607(520) 364-1429(520) 364-4261 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mario Moreno Anp NPPES

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

MARIO MORENO ANP (NPI 1720042385) is an individual family medicine provider in Douglas, Arizona, licensed in Arizona (0505526) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1720042385
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARIO MORENOCredential: ANP
Location Address1100 F AVEDouglas, AZ 85607-1919
Mailing Address1205 F. AvenueDouglas, AZ 85607 · (520) 364-1429 · Fax (520) 364-4261
Phone(520) 364-1429
Fax(520) 364-4261
Sole ProprietorNo
Enumeration DateApril 12, 2006
Last NPPES UpdateJune 12, 2013
✔ NPI 1720042385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 0505526
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1100 F AVE, Douglas, AZ 85607
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Other Identifiers 2

Medicare UPINS96533AZ
Medicaid502527AZ

Other Providers at the Same Location NPPES 17

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

SHIRLEY L. BAYHAM-HICKS FNP
Nurse Practitioner (Family)
1100 F AVE
DOUGLAS, AZ 85607
Cochise County (520) 364-3285
PAMELA OLIPHANT
Dietitian, Registered
1100 F AVE
DOUGLAS, AZ 85607
Cochise County (520) 364-3285
DIA CHERIE MADDEN FNP
Nurse Practitioner (Family)
1100 F AVE
DOUGLAS, AZ 85607
Cochise County (520) 364-3285
MS. ANITA ALLENE JONES RN, MSN, FNP
Nurse Practitioner (Family)
1100 F AVE
DOUGLAS, AZ 85607
Cochise County (520) 364-1429
DR. RUSSELL L CHRISTOPHER JR. M.D.
Psychiatry & Neurology (Psychiatry)
1100 F AVE
DOUGLAS, AZ 85607
Cochise County (520) 364-1429
ROBERT SNYDER RODRIGUEZ PA
Physician Assistant
1100 F AVE
DOUGLAS, AZ 85607
Cochise County (520) 364-3285
CHRISTOPHER ROGOWSKI DDS
Dentist
1100 F AVE
DOUGLAS, AZ 85607
Cochise County (520) 364-3285
NINIVE ALEJANDRA QUIJADA DENTAL HYGIENIST
Dental Hygienist
1100 F AVE
DOUGLAS, AZ 85607
Cochise County (520) 364-3285

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 Mario Moreno's NPI number?

The NPI number for Mario Moreno is 1720042385. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Mario Moreno located?

Mario Moreno practices at 1100 F Ave, Douglas, AZ 85607. The listed phone number is (520) 364-1429.

What is Mario Moreno's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mario Moreno was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.