OrganizationActive
Alvaro J Moreno OD PC
NPI 1013085935 · Clinic/Center · Petal, MS
Provider details
- NPI number
- 1013085935
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Alvaro Moreno, Owner
- License
- 610 (MS)
Practice location
598 E Central Ave
Petal, MS 39465-2957
Phone: (601) 450-3937
Fax: (601) 909-6104
Mailing address
598 E Central Ave
Petal, MS 39465-2957
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2020-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.