| Gerardo J. Moreira, M.d., P.a. | |
|
5060 Mcnutt Rd Santa Teresa NM 88008-9442 | |
| (505) 589-3000 | |
| Not Available |
| Full Name | Gerardo J. Moreira, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5060 Mcnutt Rd, Santa Teresa, New Mexico |
| Authorized Official Name and Position | Gerardo Jose Moreira (PRESIDENT) |
| Authorized Official Contact | 9155770111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerardo J. Moreira, M.d., P.a. 2415 E Yandell Dr El Paso TX 79903-3616 Ph: (915) 577-0111 | Gerardo J. Moreira, M.d., P.a. 5060 Mcnutt Rd Santa Teresa NM 88008-9442 Ph: (505) 589-3000 |
| NPI Number | 1699950741 |
|---|---|
| Provider Enumeration Date | 01/08/2008 |
| Last Update Date | 02/16/2010 |
| Medicare PECOS PAC ID | 5991601221 |
|---|---|
| Medicare Enrollment ID | O20031209000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699950741 | NPI | - | NPPES |
| 348328901 | Medicaid | NM | |
| 1151755-02 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
| Provider Name | Gerardo J Moreira |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013935675 PECOS PAC ID: 0648176982 Enrollment ID: I20031209000371 |
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