| Fiesta Therapeutic Services Llc | |
| 
					2537 Old Spanish Trl, Brownsville, TX 78520-9012  | |
| (956) 755-8255 | |
| (956) 594-6266 | 
| Full Name | Fiesta Therapeutic Services Llc | 
|---|---|
| Type | Facility | 
| Speciality | Speech-language Pathologist | 
| Location | 2537 Old Spanish Trl, Brownsville, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1639925100 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary | 
| Provider Name | Edna Maldonado | 
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist | 
| Provider Identifiers | NPI Number: 1407528813 PECOS PAC ID: 4082055686 Enrollment ID: I20240514002607  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Fiesta Therapeutic Services Llc 2537 Old Spanish Trl, Brownsville, TX 78520-9012 Ph: (956) 755-8255  | Fiesta Therapeutic Services Llc 2537 Old Spanish Trl, Brownsville, TX 78520-9012 Ph: (956) 755-8255  | 
Miss Lenore Kristine Fernandez, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 E Alton Gloor Blvd Ste A, Brownsville, TX 78526 Phone: 956-350-7329  | |
Christina Garza,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 871 Old Alice Rd, Suite 600, Brownsville, TX 78520 Phone: 956-541-2102 Fax: 956-541-2502  | |
Marisela Rivera,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 871 Old Alice Rd, Suite 600, Brownsville, TX 78520 Phone: 956-541-2102 Fax: 956-541-2502  | |
Kortney Prater, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 871 Old Alice Rd Ste 600, Brownsville, TX 78520 Phone: 956-541-2102 Fax: 956-541-2502  | |
Katia Alexandra Rios, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1900 N Expressway Ste K, Brownsville, TX 78521 Phone: 956-541-2102  | |
Nicole Jacqueline Prince,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 814 N Expressway # 77, Suite 5, Brownsville, TX 78521 Phone: 956-443-0266 Fax: 956-443-0292  | |
Alejandra Ruby Longoria, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4430 E 14th St Unit E, Brownsville, TX 78521 Phone: 956-542-6296  |