Provider Demographics
NPI:1740642446
Name:ARIZMENDEZ, NATALIA P (MD)
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:P
Last Name:ARIZMENDEZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2801 W KINNICKINNIC RIVER PKWY
Mailing Address - Street 2:SUITE 250
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53215-3669
Mailing Address - Country:US
Mailing Address - Phone:414-649-6732
Mailing Address - Fax:414-649-3361
Practice Address - Street 1:2801 W KINNICKINNIC RIVER PKWY
Practice Address - Street 2:SUITE 250
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215-3669
Practice Address - Country:US
Practice Address - Phone:414-649-6732
Practice Address - Fax:414-649-3361
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-22
Last Update Date:2020-03-26
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI68815-20207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100097863Medicaid