Healthcare Provider Details

I. General information

NPI: 1619849411
Provider Name (Legal Business Name): URIOSTE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 WASHINGTON AVENUE
SANTA FE NM
87501
US

IV. Provider business mailing address

PO BOX 1675
LAS VEGAS NM
87701-1675
US

V. Phone/Fax

Practice location:
  • Phone: 505-429-3385
  • Fax:
Mailing address:
  • Phone: 505-429-3385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA URIOSTE
Title or Position: OWNER
Credential:
Phone: 505-429-3385