Individual
DR. MERCEDES QUINTOS-GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7617 LITTLE RIVER TPKE, STE 710, ANNANDALE, VA 22003-2635
(703) 941-1732
(703) 941-2018
Mailing address
7617 LITTLE RIVER TPKE, STE 710, ANNANDALE, VA 22003-2603
(703) 941-1732
(703) 941-2018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101050098
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100393
UNITED HEALTHCARE
VA
01
—
1372126 001
CIGNA
VA
01
—
225263
MAMSI
VA
01
—
4538843
AETNA
VA
01
—
503665
NCPPO
VA
01
—
825263
OPTIMUM CHOICE
VA
01
—
B682 0004
BLUE CROSS BLUE SHIELD
VA
Enumeration date
06/01/2005
Last updated
09/23/2009
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