MEDICARE: PAOLA CONSUELO RIOS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171R00000X	Interpreter

General Provider Information

NPI Number	:	1942095633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAOLA CONSUELO RIOS

Provider Business Mailing Address
First Line	:	1008 PETWORTH WAY
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21702-5163
Country	:	US
Telephone Number	:	301-788-4094
Fax Number	:	301-788-4094

Provider Business Practice Location Address
First Line	:	1008 PETWORTH WAY
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21702-5163
Country	:	US
Telephone Number	:	301-788-4094
Fax Number	:	301-788-4094

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2025
Last Update Date	:	04/15/2025

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Directions to “ PAOLA CONSUELO RIOS ” Practice Location

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