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NPI Code Detail

MEDICARE: GYSELLE RIOS

MEDICARE:   GYSELLE  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
12355S0801XSpeech-Language AssistantSI4996FL

General Provider Information

NPI Number : 1053247742
Entity Type Code : Individual
Provider Name (Legal Business Name) : GYSELLE RIOS
Provider Business Mailing Address
First Line : 24 CHESTNUT CIR
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33026-1119
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 24 CHESTNUT CIR
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33026-1119
Country : US
Telephone Number : 321-314-3351
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2026
Last Update Date : 06/20/2026

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Directions to “ GYSELLE RIOS ” Practice Location

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