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NPI Code Detail

MEDICARE: GABRIELLA LYNDA BUENSUCESO

MEDICARE:   GABRIELLA LYNDA BUENSUCESO
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1871419267
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLA LYNDA BUENSUCESO
Provider Business Mailing Address
First Line : 3733 ALPINE BYPASS AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-6616
Country : US
Telephone Number : 725-321-2787
Fax Number :
Provider Business Practice Location Address
First Line : 2500 W SAHARA AVE STE 107
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-4367
Country : US
Telephone Number : 702-291-8798
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2026
Last Update Date : 06/29/2026

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Directions to “ GABRIELLA LYNDA BUENSUCESO ” Practice Location

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