Provider Demographics
NPI:1194327734
Name:SERVICIOS Y MAS INC
Entity type:Organization
Organization Name:SERVICIOS Y MAS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CCSS/CCHW
Authorized Official - Prefix:
Authorized Official - First Name:GUILLERMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSORIA
Authorized Official - Suffix:
Authorized Official - Credentials:CCHW
Authorized Official - Phone:505-753-3512
Mailing Address - Street 1:424 S RIVERSIDE DR STE G
Mailing Address - Street 2:
Mailing Address - City:ESPANOLA
Mailing Address - State:NM
Mailing Address - Zip Code:87532-3394
Mailing Address - Country:US
Mailing Address - Phone:505-753-3512
Mailing Address - Fax:888-504-0115
Practice Address - Street 1:424 S RIVERSIDE DR STE G
Practice Address - Street 2:
Practice Address - City:ESPANOLA
Practice Address - State:NM
Practice Address - Zip Code:87532-3394
Practice Address - Country:US
Practice Address - Phone:505-595-4848
Practice Address - Fax:888-504-0115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Multi-Specialty