Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mario Moreno, ANP

Individual provider Family Medicine Physician · NPI 1720042385

Mario Moreno, ANP is a Family Medicine Physician in Douglas, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006

Practice location Address checks out

1100 F Ave
Douglas, AZ 85607-1919
Phone: (520) 364-1429
Fax: (520) 364-4261
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0505526 (AZ)

Record details

NPI number1720042385
Entity typeIndividual (Type 1)
GenderMale
Credentials ANP
Sole proprietorNo
NPI enumeratedApril 12, 2006
Last updated in NPPESJune 12, 2013
Mailing address1205 F. Avenue, Douglas, AZ 85607

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