Provider Demographics
NPI:1083666911
Name:CUERO, SONIA GUADALUPE (AUD)
Entity type:Individual
Prefix:DR
First Name:SONIA
Middle Name:GUADALUPE
Last Name:CUERO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1602 PRIMROSE TRL
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-2625
Mailing Address - Country:US
Mailing Address - Phone:512-740-4741
Mailing Address - Fax:
Practice Address - Street 1:1850 S A W GRIMES BLVD STE 300
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-2018
Practice Address - Country:US
Practice Address - Phone:512-989-3088
Practice Address - Fax:512-989-9150
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51266231HA2400X, 231HA2500X, 237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX185785602Medicaid
TX185785601Medicaid
TXTXB120878Medicare PIN
TX8L0937Medicare PIN