Individual
EDUARDO SANMIGUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 452-1400
(910) 332-1072
Mailing address
401 N MAIN ST, KENANSVILLE, NC 28349-8801
(910) 296-2774
(910) 296-2771
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9900341
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-28699
UNITED HEALTHCARE
NC
01
—
1191T
BCBS
NC
05
—
891191T
—
NC
01
—
930077044
RAILROAD MEDICARE
NC
01
—
930084657
RAILROAD MEDICARE
—
01
—
B4557
MEDCOST
NC
05
—
Q00345
—
SC
Enumeration date
07/01/2005
Last updated
01/14/2022
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