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NPI Code Detail

MEDICARE: GABRIELA RIOS-MARTINEZ

MEDICARE:   GABRIELA  RIOS-MARTINEZ
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
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110678OTHERMDLGPC

General Provider Information

NPI Number : 1477151538
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELA RIOS-MARTINEZ
Provider Business Mailing Address
First Line : 10310 SWIFT STREAM PL APT 405
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-4899
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10310 SWIFT STREAM PL APT 405
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-4899
Country : US
Telephone Number : 240-507-0359
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2020
Last Update Date : 10/12/2020

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Directions to “ GABRIELA RIOS-MARTINEZ ” Practice Location

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