Provider / Organization | NPI | Date Certified |
---|---|---|
YOLANDA MARIA MIROBALLI MENDOZA | 1265966303 | 2022-10-01 |
Yolanda Maria Miroballi Mendoza is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1265966303. Registration indicates Yolanda Maria Miroballi Mendoza is a provider of services with a specialization in Diagnostic Radiology (Radiology) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Diagnostic Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Diagnostic Radiology, Allopathic & Osteopathic Physicians) (Radiology, ) Access to Adult/Geriatric Primary Care Providers (Allopathic & Osteopathic Physicians, General Practice) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, General Practice) (Allopathic & Osteopathic Physicians, General Practice) (General Practice, ) (Primary Care/Family Planning/APRN/PA, ) (General Practice, Allopathic & Osteopathic Physicians)
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Dr. Yolanda Maria Miroballi Mendoza MD |
Practice Office Address | 9040 FITZSIMMONS DR JOINT BASE LEWI, WA US |
Practice Office Telephone | 2539684184 |
Mailing Address | 9040 FITZSIMMONS DR JOINT BASE LEWIS MCCHORD, WA 984311000 US |
Business Telephone | 2539684184 |
Code | Practice | License No State |
---|---|---|
2085R0202X PRIMARY | Diagnostic Radiology (Radiology), Allopathic & Osteopathic Physicians Radiology Radiology: Diagnostic Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Diagnostic Radiology Allopathic & Osteopathic Physicians Radiology | 31114
NE |
208D00000X | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians General PracticeAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians General Practice Allopathic & Osteopathic Physicians General Practice General Practice Primary Care/Family Planning/APRN/PA General Practice Allopathic & Osteopathic Physicians | 31114
NE |