Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Yolanda Maria Miroballi Mendoza, MD

Individual provider General Practice Physician · NPI 1265966303

Dr. Yolanda Maria Miroballi Mendoza, MD is a Diagnostic Radiology in Fort Moore, Georgia. Graduated from Medical College of Wisconsin in 2017, 9 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
9
Trained at
Medical College of Wisconsin
Licensed in
NE
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Phone: (762) 408-2273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9040 Fitzsimmons Dr, Joint Base Lewis McChord, WA 98431-1000 — (253) 968-4184

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 31114 (NE)
General Practice Physician Taxonomy 208D00000X · Licence 31114 (NE)

Record details

NPI number1265966303
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2017
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Moore