Look up the most recent NPI and PECOS records

Neury Alexander Moran

(<Unavail>)

Dentist

Dental Providers

Paseo De Los Heroes 10289-Interior 8002, Zona Rio, Tijuana, Baja California 22010 (Mexico)

PECOS Enrollment

Based on the most recent information from CMS, provider Neury Alexander Moran does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1891462966
Provider Type
Organization
Full Name
Neury Alexander Moran
Other Name
<Unavail>

Subpart
No
Enumeration Date
8/26/2021
Last Updated
8/26/2021

Contact Information

Practice Location

Paseo De Los Heroes 10289-Interior 8002, Zona Rio, Tijuana, Baja California 22010 (Mexico)

(664) 477-5433

Unlisted Fax

Mailing Location

544 Parkwood Dr, San Diego, CA 92139-1309

Unlisted Phone

Unlisted Fax

Authorized Official

Moran, Neury A (Dentist)

(619) 272-9021

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License Unlisted Issuer

Neury Alexander Moran

(<Unavail>)

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Areli S Gonzalez

Biodental Care S.C.

Rodolfo Gonzalez

Hernandez, Carlos

Rosa C Martinez

Vanessa Fernandez

Irving Leonel Garcia Guevara

Ramses Angulo Pena

Pedro Aguilar

Fernando Vazquez