NPI Registry.org

Yolanda Maria Miroballi Mendoza

NPI Registration Record

Provider / OrganizationNPIDate Certified
YOLANDA MARIA MIROBALLI MENDOZA12659663032022-10-01

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)

RegistrationPART-B:Y
DME:Y
HHA:Y
PMD:Y
Entity TypeIndividual
Provider NameDr. Yolanda Maria Miroballi Mendoza MD
Practice Office Address9040 FITZSIMMONS DR
JOINT BASE LEWI, WA US
Practice Office Telephone2539684184
Mailing Address9040 FITZSIMMONS DR
JOINT BASE LEWIS MCCHORD, WA 984311000 US
Business Telephone2539684184
HPT Codes
CodePractice
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
208D00000XAccess 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
OPI Codes
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