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Sergio Andres Montoya

Internal Medicine

Allopathic & Osteopathic Physicians

3300 Gallows Rd, Falls Church, VA 22042-3307

PECOS Enrollment

This provider is enrolled in PECOS as SERGIO MONTOYA.

Based on the most recent information from CMS, provider Sergio Andres Montoya is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1073789301
Provider Type
Individual
Full Name
Montoya, Sergio Andres
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/6/2008
Last Updated
12/15/2022

Contact Information

Practice Location

3300 Gallows Rd, Falls Church, VA 22042-3307

(703) 776-4001

(703) 776-7113

Mailing Location

3300 Gallows Rd, Falls Church, VA 22042-3307

(703) 776-4001

(703) 776-7113

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 0101276627 Virginia
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 4301094912 Michigan

Sergio Andres Montoya

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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