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

Mr. Juan D Moreno, PA

Individual provider Physician Assistant · NPI 1447640842

Mr. Juan D Moreno, PA is a Physician Assistant in Jbsa Randolph, Texas. Licensed in New Mexico. Registered with an NPI since 2015.

Licensed in
NM
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

221 3rd St W Bldg 1040
Jbsa Randolph, TX 78150-4800
Phone: (210) 652-6550
Fax: (210) 292-4130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2017021 (NM)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1447640842
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 23, 2015
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023

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