Healthcare Provider Details

I. General information

NPI: 1053243741
Provider Name (Legal Business Name): CLOUD SPEECH THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 W 60TH ST
HIALEAH FL
33012-2631
US

IV. Provider business mailing address

130 W 60TH ST
HIALEAH FL
33012-2631
US

V. Phone/Fax

Practice location:
  • Phone: 786-925-9039
  • Fax:
Mailing address:
  • Phone: 786-925-9039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SERGIO J TERAN ZAMBRANO
Title or Position: OWNER
Credential:
Phone: 786-925-9039