Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHNNY C. MORENO, M.D.
DeactivatedDR. JOHNNY C. MORENO, M.D. is a General Practice healthcare provider located in ARTESIA, New Mexico. NPI 1871591701 is deactivated in the NPPES registry. Verify at CMS.
General Practice · ARTESIA, NM
This NPI has been deactivated.
The record was deactivated on March 17, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1871591701
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2005 (0.67671232876712 yrs)
- Last Updated
- Dec 30, 2011
- Deactivated
- Mar 17, 2006
- License
-
80-218 (NM)
Practice Information
- Address
-
606 N 13TH STARTESIA, NM, 882101165Browse NM providers · Browse ZIP 88210
- Phone
- 5757481266
- Fax
- 5757488822
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.