Amistad Audiology, PLLC

Organization Active NPI Audiologist · Del Rio, TX

NPI 1689404584 · NPPES record last updated Aug 5, 2024

Key facts

NPI
1689404584
Entity type
Organization (NPI type 2)
Primary specialty
Audiologist 231H00000X
Legal business name
AMISTAD AUDIOLOGY, PLLC
Practice address
115 W Cantu Rd
Del Rio, TX 78840-3005
Phone
(830) 212-6816
NPI assigned
Aug 5, 2024
Organization subpart
No

Authorized official

Name
Nuvia Rodriguez, AU.D.
Title
Audiologist/Owner
Phone
(830) 469-9483

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20251216003569 TX Part B Supplier - Clinic/Group Practice 2466947577 Receives reassigned benefits from 1 practitioner
Practice locations: Del Rio, TX

National Provider Directory

Locations

115 W Cantu Rd
Del Rio, TX 78840
Phone (830) 212-6816

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist
Group: 193200000X MULTI-SPECIALTY GROUP
231H00000X Yes
Speech/Language/Hearing Specialist/Technologist
Group: 193200000X MULTI-SPECIALTY GROUP
235500000X
Audiology Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
2355A2700X
Audiologist-Hearing Aid Fitter
Group: 193200000X MULTI-SPECIALTY GROUP
237600000X
Hearing Instrument Specialist
Group: 193200000X MULTI-SPECIALTY GROUP
237700000X

Addresses

Primary practice location

115 W Cantu Rd
Del Rio, TX 78840-3005

Mailing address

115 W Cantu Rd
Del Rio, TX 78840-3005
Phone (830) 212-6816

Other providers in Del Rio, TX

All providers in Del Rio, TX · Audiologist in Texas

Sources for this page

Verify at the official NPI Registry.