Moreira, Gerardo J.

Moreira, Gerardo J. is an sole proprietor health care provider with primary practice located at 5065 Mcnutt Rd , Santa Teresa NM 88008-9442. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Moreira, Gerardo J. can be contacted via phone (915) 542-1515.

Contact Information

Primary practice address
5065 Mcnutt Rd Santa Teresa NM 88008-9442
Phone: (915) 542-1515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X J1320 Texas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X J1320 Texas

Profile Details

NPI number 1013935675
LBN Legal business name Moreira, Gerardo J.
Credentials M.D., P.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Aug 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013935675 NPPES
Texas MEDICAID 1151755-02
Texas MEDICAID F28006

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