Organization Active NPI

Fiesta Therapeutic Services LLC

  • Speech-Language Pathologist
  • Brownsville, TX
National Provider Identifier
1639925100
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
FIESTA THERAPEUTIC SERVICES LLC
Practice address
2537 Old Spanish TRL
Brownsville, TX 78520-9012
Phone
(956) 755-8255
Fax
(956) 594-6266
NPI assigned
Apr 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Edna Maldonado, M.S.CCC-SLP
Title
Owner
Phone
(956) 755-8255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2537 Old Spanish TRL
Brownsville, TX 78520-9012

Mailing address

2537 Old Spanish TRL
Brownsville, TX 78520-9012
Phone (956) 755-8255

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1639925100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 OLD SPANISH TRL",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785209012",
            "telephone_number": "956-755-8255",
            "fax_number": "956-594-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 OLD SPANISH TRL",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785209012",
            "telephone_number": "956-755-8255",
            "fax_number": "956-594-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIESTA THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "EDNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-755-8255",
        "authorized_official_credential": "M.S.CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.