Healthcare Provider Details

I. General information

NPI: 1922656982
Provider Name (Legal Business Name): LAREDO HEARING SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2019
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10414 MEDICAL LOOP # E2
LAREDO TX
78045-6612
US

IV. Provider business mailing address

10418 MEDICAL LOOP
LAREDO TX
78045-6612
US

V. Phone/Fax

Practice location:
  • Phone: 956-462-5848
  • Fax: 956-462-5866
Mailing address:
  • Phone: 956-462-5848
  • Fax: 956-462-5866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: JAZIEL ISAI SILVA-GONZALEZ
Title or Position: OWNER
Credential:
Phone: 956-462-5848