# GERARDO J. MOREIRA, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699950741
- **Authorized official:** DR. GERARDO JOSE MOREIRA (PRESIDENT)
- **Authorized official phone:** (915) 577-0111

## Contact information

- **Practice address:** 5060 MCNUTT RD, SANTA TERESA, NM 88008-9442
- **Practice address phone:** (505) 589-3000
- **Mailing address:** 2415 E YANDELL DR, EL PASO, TX 79903-3616
- **Mailing address phone:** (915) 577-0111
- **Mailing address fax:** (915) 533-2568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2008
- **Last updated:** 02/16/2010