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

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