GERARDO J. MOREIRA, M.D., P.A. (NPI# 1699950741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699950741 |
| Entity Type | Organization |
| Organization Name | GERARDO J. MOREIRA, M.D., P.A. |
| Practice Address |
5060 Mcnutt Rd Santa Teresa NM 88008-9442 |
| Mailing Address |
2415 E Yandell Dr El Paso TX 79903-3616 |
| Practice Telephone | 5055893000 |
| Mailing Telephone | 9155770111 |
| Mailing Fax Number | 9155332568 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2010-02-16 |
| Authorized Official Name | DR. GERARDO JOSE MOREIRA (PRESIDENT) |
| Authorized Official Telephone | 9155770111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1151755-02 | 05 | |
| NM | 348328901 | 05 |
| Street Address |
5060 MCNUTT RD |
| City | SANTA TERESA |
| State | NM |
| Zip Code | 88008-9442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507211 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5690 Santa Teresita Drive, Suite A2, Room P1, Santa Teresa, NM 88008 | 2020-10-27 |
| 1891848131 | Direct Healthcare South Inc | Home Health | 101 Livingston Loop, Suite 5, Santa Teresa, NM 88008 | 2007-01-19 |
| 1912061235 | Rio Valle Behavioral Health Centre | Psychiatry & Neurology | 101 Livinston Loop, Bldg C Suite 3, Santa Teresa, NM 88008 | 2006-12-21 |
| 1679634562 | Robert L Nichols | Family Medicine | 1300 Country Club Road, Santa Teresa, NM 88008 | 2006-12-13 |
| 1881792950 | Leo J Raschbaum Mdpc | Clinic/Center | 5690 Santa Teresita, Building A, Suite 4, Santa Teresa, NM 88008 | 2006-09-20 |
| 1366410276 | Emilio T. Rivera | Anesthesiology | 5290 Mcnutt Rd, Ste 109, Santa Teresa, NM 88008 | 2006-03-08 |
| 1225486194 | Diane Rivera | Registered Nurse | 101 Airport Road, Santa Teresa, NM 88008 | 2016-06-01 |
| 1780080358 | Audriana Apodaca | Nurse Practitioner | 100 Airport Rd, Santa Teresa, NM 88008 | 2014-11-10 |
| 1447667001 | Noha Oushy Eissa | Dentist | 103 Livingston Loop Ste B3, Santa Teresa, NM 88008 | 2014-07-16 |
| 1871963017 | Oralia Quezada | Student in an Organized Health Care Education/Training Program | 103 Livingston Loop, Bldg B, Suite 4, Santa Teresa, NM 88008-1063 | 2015-09-30 |
| Find all providers in zip 88008 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912061235 | Rio Valle Behavioral Health Centre | Psychiatry & Neurology | 101 Livinston Loop, Bldg C Suite 3, Santa Teresa, NM 88008 | 2006-12-21 |
| 1013935675 | Gerardo J. Moreira | Psychiatry & Neurology | 5065 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760424154 | Florian Birkmayer | Psychiatry & Neurology | 2418 Miles Rd Se, The Birkmayer Institute LLC, Albuquerque, NM 87106-3224 | 2006-06-12 |
| 1952377319 | Gary Borrell | Psychiatry & Neurology | Unm Psychiatric Ctr, 2600 Marble Ne, Albuquerque, NM 87131-0001 | 2006-02-27 |
| 1093789265 | Javier Antonio Vera | Psychiatry & Neurology | 4253 Montgomery Blvd Ne Ste 220, Albuquerque, NM 87109-1130 | 2006-02-15 |
| 1497756670 | Michael O. Flanagan | Psychiatry & Neurology | 4209 Montgomery Blvd Ne, Albuquerque, NM 87109-1103 | 2005-08-10 |
| 1932600673 | Medclub Vip LLC | Psychiatry & Neurology | 4325 Carlisle Blvd Ne, Albuquerque, NM 87107-4810 | 2018-02-27 |
| 1023307253 | Epoch Behavioral Healthcare Inc | Psychiatry & Neurology | 250 S Main St, Las Cruces, NM 88001-1278 | 2011-03-28 |
| 1689883456 | Daniel Duhigg | Psychiatry & Neurology | 1325 Wyoming Blvd Ne, Albuquerque, NM 87112-5046 | 2007-05-21 |
| 1336261783 | Robert Anthony Buser | Psychiatry & Neurology | 3405 Pan American Fwy Ne, Albuquerque, NM 87107-4786 | 2007-04-05 |
| City | SANTA TERESA |
| Zip Code | 88008 |
Please comment or provide details below to improve the information on GERARDO J. MOREIRA, M.D., P.A..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.