Moya Innovative Vascular Services PLLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

MOYA INNOVATIVE VASCULAR SERVICES PLLC

Practice address

1400 Northgate LN
McAllen, TX 78504-9558

Phone

(610) 908-2995

NPI assigned

Mar 13, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Mario Moya, MDNPI 1962470740

Title

Ceo

Phone

(610) 908-2995

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Mario Moya, MD

  • Vascular & Interventional Radiology Physician
  • Newtown Square, PA
  • NPI 1962470740

  TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1114727773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NORTHGATE LN",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785049558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NORTHGATE LN",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785049558",
            "telephone_number": "610-908-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOYA INNOVATIVE VASCULAR SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "MOYA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-908-2995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hassan Mourad, MD
• Moveo Performance LLC
• Jazlyn Moya Garza
• Moya Heritage Ventures, LLC.
• Damian Moya
• Jose Maria Moya Jr., RVS
• Laura C Moya, M.S. CCC-SLP
• Yadira Moya, M.S. CCC-SLP
• Ms Daisy Home Care LLC

• Radiology Clinic/Center in McAllen, TX
• Providers in McAllen, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.