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Individual

MR. LUIS A OSORIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
450 VETERANS MEMORIAL PKWY, BUILDING 6, EAST PROVIDENCE, RI 02914-5300
(401) 435-5533
(401) 431-2555
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD10536
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007058808
MEDICARE
05
7008829
RI
Enumeration date
08/31/2005
Last updated
04/04/2024
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