Individual provider Active NPI

Magdaleno Moreno II

  • Technician
  • Brownsville, TX
National Provider Identifier
1891344776
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
Practice address
1393 E Alton Gloor Blvd Ste 8
Brownsville, TX 78526-3401
Phone
(956) 545-0009
Fax
(956) 545-0009
NPI assigned
Sep 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician 374700000X Primary

Addresses

Primary practice location

1393 E Alton Gloor Blvd Ste 8
Brownsville, TX 78526-3401

Mailing address

9565 Los Olmos
Los Fresnos, TX 78566-4589
Phone (956) 742-9670

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mmscv16@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1891344776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9565 LOS OLMOS",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785664589",
            "telephone_number": "956-742-9670",
            "fax_number": "956-545-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 E ALTON GLOOR BLVD STE 8",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263401",
            "telephone_number": "956-545-0009",
            "fax_number": "956-545-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "MAGDALENO",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mmscv16@gmail.com",
            "affiliation": "N",
            "address_1": "1393 E Alton Gloor Blvd Ste 8",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785263401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.