Individual
MARIA EUGENIA IRUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2085 FRONTIS PLAZA BLVD, WINSTON SALEM, NC 27103-5614
(336) 481-8655
(336) 277-9165
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29757
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
29757
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-08776
UNITED HEALTHCARE
NC
01
—
080170773
RAIL ROAD MEDICARE
NC
01
—
22839
PARTNERS
NC
01
—
45339
BCBSNC
NC
05
—
8945339
—
NC
Enumeration date
06/18/2006
Last updated
11/14/2022
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