CRYSTA NICOLE MORENO DO
NPI 1770165169
Student in an Organized Health Care Education/Training Program in San Antonio, TX

Q: What is Crysta Moreno's NPI number?

The NPI number for Crysta Moreno is 1770165169. It was assigned to this individual provider in the NPPES registry on April 25, 2021.

Q: What is Crysta Moreno's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Crysta Moreno was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 25, 2021

333 N SANTA ROSA, SAN ANTONIO, TX 78207(210) 704-3910 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2021, Apr 25, 2021 (2 updates tracked since 2021).

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About Crysta Nicole Moreno Do NPPES

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

CRYSTA NICOLE MORENO DO (NPI 1770165169) is an individual student in an organized health care education/training program in San Antonio, Texas and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1770165169

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCRYSTA NICOLE MORENOCredential: DO

Location Address333 N SANTA ROSASan Antonio, TX 78207-3108

Mailing Address333 N Santa RosaSan Antonio, TX 78207-3108 · (210) 704-3910

Phone(210) 704-3910

Sole ProprietorNo

Enumeration DateApril 25, 2021

Last NPPES UpdateJune 25, 20212 updates tracked since enumeration

NPPES CertifiedJune 25, 2021

✔ NPI 1770165169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

333 N SANTA ROSA, San Antonio, TX 78207

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Other Providers at the Same Location NPPES 20

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

LATHA PRASANNAN MD

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