Cusicanqui Monrroy, Miriam Jacqueline Nicolasa
Cusicanqui Monrroy, Miriam Jacqueline Nicolasa is an sole proprietor health care provider with primary practice located at 1715 N George Mason Dr Suite 501, Arlington VA 22205-3609. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Cusicanqui Monrroy, Miriam Jacqueline Nicolasa can be contacted via phone (703) 527-4466.Contact Information
Primary practice address
1715 N George Mason Dr Suite 501
Arlington VA 22205-3609
Phone: (703) 527-4466
Fax: (703) 552-1326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101241806 | Virginia |
Profile Details
| NPI number | 1497945174 |
|---|---|
| LBN Legal business name | Cusicanqui Monrroy, Miriam Jacqueline Nicolasa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2007 |
| Last updated | Aug 10th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497945174 | NPPES |
| Virginia | Other | 132601 | MEDICARE PTAN |
| Virginia | MEDICAID | 7100033620 | MEDICARE PTAN |
| Virginia | MEDICAID | 1497945174 | MEDICARE PTAN |
Popular Providers
-
Batz, Raymond Reed
1405 20Th St S , Arlington VA 22202-1503 -
Neria, Jennifer T
1625 N George Mason Dr Suite 434, Arlington VA 22205-3683 -
Baxter, John Stuart
Pentagon Room 4A674, Arlington VA 20330 -
Sutter, John Patrick
200 North Glebe Rd Suite 104 Phoenix House Mid Atlantic, Arlington VA 22203 -
Nasuti, Arminda G
6932 Fairfax Dr Unit 400, Arlington VA 22213-1096 -
Segal, Lydia S
2445 Army Navy Dr , Arlington VA 22206-2905 -
Jean, Danielle Saint Ulme
3301 Wilson Blvd , Arlington VA 22201 -
Molaiy, John Hossein
1635 N George Mason Dr Suite 455, Arlington VA 22205-3601