MEDICARE: URIOSTE THERAPY

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1619849411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URIOSTE THERAPY

Provider Business Mailing Address
First Line	:	PO BOX 1675
Second Line	:
City	:	LAS VEGAS
State	:	NM
Zip	:	87701-1675
Country	:	US
Telephone Number	:	505-429-3385
Fax Number	:

Provider Business Practice Location Address
First Line	:	302 PATIO PLAZA
Second Line	:
City	:	LAS VEGAS
State	:	NM
Zip	:	87701
Country	:	US
Telephone Number	:	505-429-3385
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SAMANTHA URIOSTE
Credential	:
Telephone Number	:	505-429-3385

Provider Enumeration Date	:	09/22/2025
Last Update Date	:	05/26/2026

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Directions to “URIOSTE THERAPY ” Practice Location

Language	Start Address	Practice Location

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