DR. LUIS ANTONIO MORENO (NPI# 1538372958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538372958 |
| Entity Type | Individual |
| Full Name | DR. LUIS ANTONIO MORENO |
| Credential | MD |
| Practice Address |
845 Crestwood Ave Titusville FL 32796-2265 |
| Practice Telephone | 3218673827 |
| Practice Fax Number | 3218679198 |
| Mailing Telephone | 3218673827 |
| Mailing Fax Number | 3218679198 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | ME 88233 | FL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518311430 | Luis Moreno | Social Worker | 4632 E 56th St, Maywood, CA 90270-2908 | 2016-04-18 |
| 1720042054 | Luis E Moreno | General Practice | Las Flores St 76 No, Catano, PR 00962 | 2006-04-13 |
| 1811965809 | Luis A Moreno | Legal Medicine | Street Luis Munoz Rivera 36 Interior, Santa Isabel, PR 00757 | 2006-03-08 |
| 1639727456 | Luis Moreno | Behavior Technician | 3333 Vaca Valley Pkwy Ste 900, Vacaville, CA 95688-9419 | 2019-08-27 |
| 1649839259 | Luis Armando Moreno | Family Medicine | 2075 E Flamingo Rd, Las Vegas, NV 89119-5188 | 2019-06-07 |
| 1730600081 | Luis Moreno | Registered Nurse | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2017-06-27 |
| 1477519163 | Luis Adalberto Moreno Jr. | Emergency Medicine | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2006-04-22 |
| Street Address |
845 CRESTWOOD AVE |
| City | TITUSVILLE |
| State | FL |
| Zip Code | 32796-2265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427698091 | Miranda Jade Lacey | Behavior Technician | 2073 Graden St, Titusville, FL 32796 | 2020-01-13 |
| 1588183818 | Charles Hopkins Jr. | Behavior Technician | 2073 Garden St., Titusville, FL 32796 | 2017-09-19 |
| 1962924456 | Robin Marie Ahlgren | Social Worker | 503 South Palm Ave, Titusville, FL 32796 | 2017-07-17 |
| 1669994158 | New Creation Counseling | Social Worker | 503 South Palm Ave., Titusville, FL 32796 | 2017-07-17 |
| 1255719506 | Daniel Joseph Spagnoli | Dentist | 55 N Carpenter Rd, Titusville, FL 32796 | 2015-05-07 |
| 1033511415 | Imran Rashid Md Pa | Internal Medicine | 3300 Dairy Road, Titusville, FL 32796 | 2014-09-17 |
| 1639425432 | William Henry Ruppert Jr. | Dietitian, Registered | 2191 Garden Street, Titusville, FL 32796 | 2012-07-30 |
| 1437410230 | Betsy Cooduvalli | Dermatology | 500 N Washington Ave Ste 109, Titusville, FL 32796 | 2012-06-07 |
| 1134403108 | Titusville Chiropractic & Injury Center, Inc. | Chiropractor | 850 Century Medical Drive, Titusville, FL 32796 | 2011-10-07 |
| 1992095152 | Jennifer Eleanor Koffman | Occupational Therapy Assistant | 140 N Hilltop Drive, Titusville, FL 32796 | 2011-04-08 |
| Find all providers in zip 32796 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872387 | Wesley Charles Wagers | Military Health Care Provider | 96 Mdos/sgof, 307 Boatner Road, Suite 114, Eglin Afb, FL 32542-1391 | 2020-05-14 |
| 1548808546 | Patrick S. Merriman | Military Health Care Provider | Navy Medicine Support Command Att: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2019-12-20 |
| 1023656451 | Operation Art District Healthcare LLC | Military Health Care Provider | 11 Nottingham Pl, Boynton Beach, FL 33426-8427 | 2019-12-17 |
| 1245881994 | Matthew Kerwin Church | Military Health Care Provider | 2020 Glenwood Hammock Rd, Deland, FL 32720-3805 | 2019-09-24 |
| 1326512443 | Francine Dorce I | Military Health Care Provider | 2300 Lynbrooke View Ct Apt 4, Orlando, FL 32822-4624 | 2019-01-12 |
| 1053805671 | Jeremy Ganz | Military Health Care Provider | 283 Twin Lakes Ln, Destin, FL 32541-2866 | 2018-06-18 |
| 1093224388 | Roland Vaughn | Military Health Care Provider | 970 Lake Carillon Dr Ste 300, St Petersburg, FL 33716-1130 | 2017-09-29 |
| 1134644750 | Kwanza Lincoln | Military Health Care Provider | 3520 Zemke Ave, Tampa, FL 33621 | 2017-08-04 |
| 1134576390 | Nathan Jamal Pena | Military Health Care Provider | 1320 Bailey Ave, Jacksonville, FL 32228-0028 | 2016-05-18 |
| 1780063644 | Samuel Herman | Military Health Care Provider | Naval Hospital Pensacola 6000 Us-98, Pensacola, FL 32512-0001 | 2015-05-26 |
| Find all providers with the same taxonomy | ||||
| City | TITUSVILLE |
| Zip Code | 32796 |
Please comment or provide details below to improve the information on DR. LUIS ANTONIO MORENO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.