Healthcare Provider Details

I. General information

NPI: 1659230266
Provider Name (Legal Business Name): LEWIS RAPHAEL ESPIRITU M.S., CF-SLP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 3RD ST N STE D
ST PETERSBURG FL
33703-6123
US

IV. Provider business mailing address

8216 BERRYFIELD DR
NOTTINGHAM MD
21236-5503
US

V. Phone/Fax

Practice location:
  • Phone: 877-268-4329
  • Fax:
Mailing address:
  • Phone: 408-767-8283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number03344L
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: