Organization
GERARDO J. MOREIRA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARDO JOSE MOREIRA (PRESIDENT)
(915) 577-0111
Entity
Organization
Contact information
Practice address
5060 MCNUTT RD, SANTA TERESA, NM 88008-9442
(505) 589-3000
Mailing address
2415 E YANDELL DR, EL PASO, TX 79903-3616
(915) 577-0111
(915) 533-2568
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1151755-02
—
TX
05
—
348328901
—
NM
Enumeration date
01/08/2008
Last updated
02/16/2010
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