Provider Demographics
NPI:1174314355
Name:IRUEGAS, EDWARD ELOY (DNP, RN)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:ELOY
Last Name:IRUEGAS
Suffix:
Gender:M
Credentials:DNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8405 MAHOGANY CT
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-2089
Mailing Address - Country:US
Mailing Address - Phone:956-849-4000
Mailing Address - Fax:
Practice Address - Street 1:8405 MAHOGANY CT
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-2089
Practice Address - Country:US
Practice Address - Phone:956-847-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX686761163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse