Marcial Arturo Moreno Gutierrez, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

U9316 Issued in TX

Practice address

208 Starr St
Mercedes, TX 78570

Phone

(956) 514-1643

Fax

(718) 963-7957

NPI assigned

Jun 10, 2021

Last updated

Jul 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rio Grande Valley Adult & Internal Medicine Specialists PLLC

  • Internal Medicine Physician
  • Weslaco, TX
  • NPI 1528039120
  NPD (past)
• Segundo Lizardo M.D.P.a.

  • Pediatrics Physician
  • Mercedes, TX
  • NPI 1477859627
  NPD (past)

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1316514995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 JAMES ST",
            "address_2": "SUITE B",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "78596",
            "telephone_number": "718-963-7956",
            "fax_number": "718-963-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 STARR ST",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "78570",
            "telephone_number": "956-514-1643",
            "fax_number": "718-963-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO GUTIERREZ",
        "first_name": "MARCIAL",
        "middle_name": "ARTURO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U9316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid Valley Pharmacy LLP (Mid Valley Pharmacy)
• Mind Matters, LLC
• Leticia Mireles
• Abad Morales
• Jessica Maritza Morales, OTR
• Anna Cecilia Munoz, PA-C
• Sutasinee Nithisoontorn
• Nuestra Clinica del Valle Inc
• Nuestra Clinica del Valle, Inc. (Nuestra Clinica del Valle- Mercedes)
• Oluwatobi Olonisakin, MD

• Pediatrics Physician in Mercedes, TX
• Providers in Mercedes, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.