MEDICARE: DR. NIMFA COCOS TENEZA-MORA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	0101058098	VA
2	207RI0200X	Infectious Disease Physician	D0101721	MD

General Provider Information

NPI Number	:	1972769354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIMFA COCOS TENEZA-MORA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 980
Second Line	:
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-0980
Country	:	US
Telephone Number	:	410-535-5400
Fax Number	:	410-535-5285

Provider Business Practice Location Address
First Line	:	8901 WISCONSIN AVE
Second Line	:	WRNMMC, AMERICA BLDG, SECOND FLOOR
City	:	BETHESDA
State	:	MD
Zip	:	20889-5600
Country	:	US
Telephone Number	:	301-295-0196
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2008
Last Update Date	:	03/03/2026

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Directions to “ DR. NIMFA COCOS TENEZA-MORA M.D.” Practice Location

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