Quintos-Gomez, Mercedes

Quintos-Gomez, Mercedes is an individual health care provider with primary practice located at 7617 Little River Tpke Ste 710, Annandale VA 22003-2635. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Quintos-Gomez, Mercedes can be contacted via phone (703) 941-1732.

Contact Information

Primary practice address
7617 Little River Tpke Ste 710 Annandale VA 22003-2635
Phone: (703) 941-1732
Fax: (703) 941-2018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101050098 Virginia

Profile Details

NPI number 1164424388
LBN Legal business name Quintos-Gomez, Mercedes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Sep 23rd, 2009 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164424388 NPPES
Virginia Other 4538843 AETNA
Virginia Other 225263 AETNA
Virginia Other B682 0004 AETNA
Virginia Other 1372126 001 AETNA
Virginia Other 0100393 AETNA
Virginia Other 503665 AETNA
Virginia Other 825263 AETNA

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