Provider Demographics
NPI:1215665831
Name:OSIAS, MAPOL
Entity type:Individual
Prefix:
First Name:MAPOL
Middle Name:
Last Name:OSIAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11916 HARRINGTON RD SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87123-2464
Mailing Address - Country:US
Mailing Address - Phone:443-538-3848
Mailing Address - Fax:
Practice Address - Street 1:3620 WYOMING BLVD NE STE 219
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3289
Practice Address - Country:US
Practice Address - Phone:505-717-1324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health