Individual
DR. GERONIMO MENDOZA URIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2559 MEDICAL DR STE D, ALAMOGORDO, NM 88310-8704
(575) 446-5650
Mailing address
4121 SAN ANTONIO ST APT 1418, ODESSA, TX 79765-2495
(832) 275-0789
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD2015-0230
NM
208000000X
Pediatrics Physician
V7580
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10043455
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26393
—
NM
Enumeration date
06/29/2012
Last updated
09/15/2025
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