| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BRIAN MORAGA | 1164150496 | 2023-03-06 |
Brian Moraga is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1164150496. Registration indicates Brian Moraga is a provider of services with a specialization in Other Service Providers, Case Manager/Care Coordinator (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Brian Moraga |
| Practice Office Address | 105 BERTHA RD TAOS, NM US |
| Practice Office Telephone | 5757584297 |
| Mailing Address | 3003 TRANSPORT ST SE ALBUQUERQUE, NM 871064307 US |
| Code | Practice | License No State |
|---|---|---|
| 171M00000X PRIMARY | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers |