AMISTAD SURGICAL & LAPAROSCOPIC CLINIC


Address: 517 N Bedell Ave, Del Rio, TX 78840-4807
Phone: 8307744099

AMISTAD SURGICAL & LAPAROSCOPIC CLINIC (NPI# 1699950691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699950691
Entity Type Organization
Organization Name AMISTAD SURGICAL & LAPAROSCOPIC CLINIC
Practice Address 517 N Bedell Ave
Del Rio
TX 78840-4807
Practice Telephone 8307744099
Practice Fax Number 8307740890
Mailing Telephone 8307744099
Mailing Fax Number 8307740890
Enumeration Date 2008-01-08
Last Update Date 2008-01-08
Authorized Official Name DR. JOSE ANTONIO MAEDA (DIRECTOR)
Authorized Official Telephone 8307744099
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1800X Clinic/Center
Specialization: Corporate Health
J1719 TX Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBSTX 0062NP 01

Office Location

Street Address 517 N BEDELL AVE
City DEL RIO
State TX
Zip Code 78840-4807

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Taxonomy Information

Taxonomy Code 261QC1800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Corporate Health

Taxonomy Definition

Definition to come...

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Competitor

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City DEL RIO
Zip Code 78840

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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