Provider Demographics
NPI:1578542726
Name:MINEIRO, LUIZ EUGENIO (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIZ
Middle Name:EUGENIO
Last Name:MINEIRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 GREYMIST LN
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-8966
Mailing Address - Country:US
Mailing Address - Phone:919-387-3536
Mailing Address - Fax:919-387-9298
Practice Address - Street 1:105 GREYMIST LN
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-8966
Practice Address - Country:US
Practice Address - Phone:919-387-3536
Practice Address - Fax:919-387-9298
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-14
Last Update Date:2013-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00-25375146D00000X, 207P00000X
NY098717-1207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services