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
-
Nuvia Cepeda, AU.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist |
231H00000X | Yes | ||
| Speech/Language/Hearing Specialist/Technologist |
235500000X | |||
| Audiology Assistant |
2355A2700X | |||
| Audiologist-Hearing Aid Fitter |
237600000X | |||
| Hearing Instrument Specialist |
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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.