AMISTAD MEDICAL PROFESSIONALS – NPI #1205188455
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

AMISTAD MEDICAL PROFESSIONALS is a provider located in DEL RIO, TX. NPPES has assigned the NPI number 1205188455 to AMISTAD MEDICAL PROFESSIONALS on October 12, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AMISTAD MEDICAL PROFESSIONALS” is a dba name, the actual legal business name for this organization is VAL VERDE HEALTH CLINIC. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMISTAD MEDICAL PROFESSIONALS below.

NPI Profile for
VAL VERDE HEALTH CLINIC

NPI Number
1205188455
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VAL VERDE HEALTH CLINIC
Doing Business As (dba): AMISTAD MEDICAL PROFESSIONALS
Primary location
1200 N BEDELL AVE
DEL RIO, TX 78840-4491
Phone: (830) 774-2505 Fax: (830) 774-2394
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ADRIAN LARSON
CLINIC DIRECTOR
Phone: (830) 774-2505
Updated
Identifiers

Identifiers for AMISTAD MEDICAL PROFESSIONALS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX281839501
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.