Graciela Moreno, M.D., P.a.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

L4580 Issued in TX

Legal business name

GRACIELA MORENO, M.D., P.A.

Practice address

2010 NW Military Hwy
San Antonio, TX 78213-2130

Phone

(210) 373-0880

Fax

(866) 232-0628

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Graciela Moreno, MDNPI 1740253541

Title

Physician Owner/President

Phone

(210) 373-0880

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 13

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

• Graciela Moreno, M.D.

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1740253541
  Medicare reassignment NPD Authorized official
• Roxanne Casiano, PT, DPT

  • Physical Therapist
  • San Antonio, TX
  • NPI 1730861089
  NPD
• Aaron McAnelly, PT, DPT, OCS

  • Physical Therapist
  • San Antonio, TX
  • NPI 1104335777
  NPD
• Analiza Morales

  • Physical Therapist
  • San Antonio, TX
  • NPI 1023867041
  NPD
• Bradley Ogden, PT, DPT

  • Physical Therapist
  • Fort Sam Houston, TX
  • NPI 1346023959
  NPD
• Stone Ray Schoenfeld, PT, DPT

  • Physical Therapist
  • San Antonio, TX
  • NPI 1710655360
  NPD
• Lauren Persyn Schrank, PT, DPT

  • Physical Therapist
  • San Antonio, TX
  • NPI 1295383412
  NPD
• Carlos Samuel Barrera, PT, DPT

  • Physical Therapist
  • Thornton, CO
  • NPI 1568182509
  NPD
• Michael E Benson, P.T.

  • Physical Therapist
  • San Antonio, TX
  • NPI 1811017692
  NPD (past)
• Jorge Guerrero, PT

  • Physical Therapist
  • San Antonio, TX
  • NPI 1962522755
  NPD (past)
• Michael Landin, PT, DPT

  • Physical Therapist
  • San Antonio, TX
  • NPI 1780085910
  NPD (past)
• Sylvia Moreno, LPC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1124070057
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1700096070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18702 DANFORTH CV",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584590",
            "telephone_number": "210-373-0880",
            "fax_number": "866-232-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 NW MILITARY HWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132130",
            "telephone_number": "210-373-0880",
            "fax_number": "866-232-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIELA MORENO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "GRACIELA",
        "authorized_official_title_or_position": "PHYSICIAN OWNER/PRESIDENT",
        "authorized_official_telephone_number": "210-373-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "L4580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  INDIVIDUAL",
            "identifier": "1740253541",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL NUMBER",
            "identifier": "8C0894",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1700096070",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168973901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camila Beatriz Gracia, LMFT
• Christina Marie Gracia, LPC
• Jaylin Gracia
• Karla Joanna Gracia, PA-C
• Mary G Gracia
• Pamela Grady, LVN
• Taquisha Lavette Grady, LVN
• Kerry Mulvey Graebe, M.D.
• Laiken Graff
• Dinah Downey Gragg, MA, LSSP, LPA

• General Practice Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.