Provider Demographics
NPI:1972769354
Name:TENEZA-MORA, NIMFA COCOS (MD)
Entity type:Individual
Prefix:DR
First Name:NIMFA
Middle Name:COCOS
Last Name:TENEZA-MORA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NIMFA
Other - Middle Name:
Other - Last Name:TENEZA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:503 ROBERT GRANT AVE
Mailing Address - Street 2:NAVAL MEDICAL RESEARCH CENTER, BLDG 503, ROOM 3S04
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-7500
Mailing Address - Country:US
Mailing Address - Phone:301-319-7254
Mailing Address - Fax:
Practice Address - Street 1:8901 WISCONSIN AVE
Practice Address - Street 2:WRNMMC, AMERICA BLDG, SECOND FLOOR
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-5600
Practice Address - Country:US
Practice Address - Phone:301-295-0196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-05
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101058098207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease