RICO VINCENTE. I. MENDOZAMDPA NPI 1457491441

NPI Information

  • NPI: 1457491441
  • Provider Name: RICO VINCENTE. I. MENDOZA,MD,PA
  • Classification: Internal Medicine - 207RC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Organization
  • Address: 2030 NORTH CHURCH PLACE
    SPARTANBURG, SC
    ZIP 29303
  • Phone: (864) 582-6858

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NPI Details

RICO VINCENTE. I. MENDOZA,MD,PA is a critical care medicine internal medicine in Spartanburg, SC. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. RICO VINCENTE. I. MENDOZA,MD,PA NPI is 1457491441. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2030 NORTH CHURCH PLACE
SPARTANBURG, SC
ZIP 29303-706
Phone: (864) 582-6858
Fax: (864) 585-0999

The provider's authorized official is Darla M Brown .
The authorized official title is Office Manager and has the following contact phone number (864) 582-6858.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 12/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary Disease23156SOUTH CAROLINANo
2207RS0012XInternal MedicineSleep Medicine23156SOUTH CAROLINANo
3207R00000XInternal Medicine23156SOUTH CAROLINANo
4207RC0200XInternal MedicineCritical Care Medicine23156SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17420MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINAMEDICARE PROVIDER NUMBER
2DF9437OTHERSOUTH CAROLINARAILROAD MEDICARE
38688OTHERSOUTH CAROLINAMBPG'S
4G14240MEDICARE UPINSOUTH CAROLINA
5231564MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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