Active NPI
Amistad Audiology, PLLC
- Audiologist
- Del Rio, TX
National Provider Identifier
1689404584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- 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
- Last updated
- Aug 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nuvia Rodriguez, AU.D.
- Title
- Audiologist/Owner
- Phone
- (830) 469-9483
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary | ||
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
115 W Cantu Rd
Del Rio, TX 78840
Phone (830) 212-6816
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Audiologist
- Del Rio, TX
- NPI 1619707502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722816000000",
"number": "1689404584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W CANTU RD",
"city": "DEL RIO",
"state": "TX",
"postal_code": "788403005",
"telephone_number": "830-212-6816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W CANTU RD",
"city": "DEL RIO",
"state": "TX",
"postal_code": "788403005",
"telephone_number": "830-212-6816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMISTAD AUDIOLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-05",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "NUVIA",
"authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
"authorized_official_telephone_number": "830-469-9483",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "235500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2355A2700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Audiology Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Del Rio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.