Organization
GERIATRIC HEALTHCARE SERVICES, P.C.
Active
Other names
Maria Eugenia Iruela, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS M IRUELA (OFFICE MANAGER)
(336) 245-2764
Entity
Organization
Contact information
Practice address
4016 HUNTSCROFT LN, WINSTON SALEM, NC 27106-4777
(336) 245-2764
(336) 245-2765
Mailing address
PO BOX 24416, WINSTON SALEM, NC 27114-4416
(336) 245-2764
(336) 923-2189
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012KA
BCBSNC
NC
05
—
8901KA
—
NC
01
—
CH6935
RAIL ROAD MEDICARE
NC
Enumeration date
06/18/2006
Last updated
09/24/2007
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