| Doctor Name: | GERARDO J. MOREIRA |
| NPI Number: | 1013935675 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D., P.A. |
| License Number: | J1320 |
| Business Practice Address: | 5065 Mcnutt Rd Santa Teresa, NM - 880089442 |
| Business Phone Number: | 9155421515 |
| Business Fax Number: | |
| Mailing Address: | 2415 E Yandell Dr, EL PASO |
| State: | TX |
| Postal Code: | 799033616 |
| Phone Number: | 9155770111 |
| Fax Number: | 9155332568 |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 07/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084A0401X |
| License Number: | J1320 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | 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 |