Individual provider Active NPI

Efren Antonio Moreno, M.D.

  • Specialist
  • Laredo, TX
National Provider Identifier
1679560817
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H5938 Issued in TX
Practice address
6999 McPherson Rd
Suite 110
Laredo, TX 78041-6449
Phone
(956) 722-8263
Fax
(956) 727-5321
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H5938 TX Primary

Addresses

Primary practice location

6999 McPherson Rd
Suite 110
Laredo, TX 78041-6449

Mailing address

6999 McPherson Rd
Suite 110
Laredo, TX 78041-6449
Phone (956) 722-8263

Other identifiers 1

IdentifierTypeStateIssuer
089613602MedicaidTX

Other names 1

  • Efren A Moreno Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090630000517 TX Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 7911058052 Practice locations: Laredo, TX

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Ponce School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6999 McPherson Rd
Suite 110
Laredo, TX 78041-6450
Phone (956) 722-8263

Hospital & facility affiliations

  • Doctors Hospital of Laredo Hospital, Laredo, TX, CCN 450643

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision19
Removal of skin lesions39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1679560817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6999 MCPHERSON RD",
            "address_2": "SUITE 110",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416449",
            "telephone_number": "956-722-8263",
            "fax_number": "956-727-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6999 MCPHERSON RD",
            "address_2": "SUITE 110",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416449",
            "telephone_number": "956-722-8263",
            "fax_number": "956-727-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "EFREN",
        "middle_name": "ANTONIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H5938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089613602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EFREN",
            "last_name": "MORENO",
            "middle_name": "A",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.