Provider Demographics
NPI:1700773496
Name:MORENO HERNANDEZ, MARICRUZ
Entity type:Individual
Prefix:
First Name:MARICRUZ
Middle Name:
Last Name:MORENO HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-4114
Mailing Address - Country:US
Mailing Address - Phone:415-632-9722
Mailing Address - Fax:
Practice Address - Street 1:940 HOWARD ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-4114
Practice Address - Country:US
Practice Address - Phone:415-632-9722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator