{"npi":"1376732099","type":"NPI-2","status":"active","name":{"display":"Eduardo Moreno, M.D., Rural Health Clinic, LLP","other":[],"organization_name":"EDUARDO MORENO, M.D., RURAL HEALTH CLINIC, LLP","authorised_official":"Helen Moreno"},"specialty":{"primary_taxonomy":"261QR1300X","primary_taxonomy_description":"Rural Health Clinic/Center","slug":"rural-health-clinic-center","schema_org_specialty":null,"all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"TX","license":"E3738"},{"code":"261QR1300X","description":"Rural Health Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"210 S AVENUE C","city":"CRYSTAL CITY","state":"TX","postal_code":"788393834","country_code":"US","phone":"8303742952","fax":"8303743784"},{"purpose":"MAILING","street_1":"210 S AVENUE C","city":"CRYSTAL CITY","state":"TX","postal_code":"788393834","country_code":"US","street_2":"P.O. BOX 725","phone":"8303742952","fax":"8303743784"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"00BT71","state":null,"issuer":"BLUE CROSS BLUE SHEILD"},{"type_code":"05","label":"Medicaid","value":"063386901","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100628000348","type_code":"00-17","type_desc":"PART A PROVIDER - RURAL HEALTH CLINIC","state":"TX","pac_id":"6709917297"},{"enrlmt_id":"O20161219001300","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TX","pac_id":"6709917297"}]},"enumeration_date":"2007-10-18","last_updated":"2024-07-09","_meta":{"source":"NPPES","snapshot_date":"2024-07-09","doc_url":"https://findmynpi.com/api"}}