HomeNPI Verification

NPI Verification

National Provider Identifier: 1275950396

Jericho De Mata, D.o.

Individual Provider

Credentials

D.O.

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (3)

Family Medicine

Code: 207Q00000X

Primary

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Practice Address

2101 E JEFFERSON ST STE 6W

ROCKVILLE, MD 208524908

NPI Enumeration Date

March 26, 2014

NPI Number

1275950396

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry