Individual
MARIA R MORENO
Active
Individual
MARIA R MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35076612
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000220176
ANTHEM BCBS
KY
01
—
001723127
MOUNTAIN STATE BCBS
WV
01
—
1057934
WV WORKERS COMP.
WV
05
—
2250317
—
OH
01
—
456256
VALUE OPTIONS
NY
Enumeration date
02/08/2007
Last updated
09/16/2013
Update your record
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