Miranda Mendoza
Dietitian, Registered in San Antonio, TX. Individual provider (NPI-1).
NPI number1902306293
StatusActive
Last updated in NPPESApr 21, 2025
Details
- NPI
- 1902306293
- Entity type
- Individual (NPI-1)
- Name
- Miranda Mendoza
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 13, 2018
- Certification date
- Apr 21, 2025
- Last updated
- Apr 21, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
9503 Yosemite CvSan Antonio, TX 78251-4369
Phone 210-488-7301
Mailing address
9503 Yosemite CvSan Antonio, TX 78251-4369
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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