=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972050839
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BILINGUAL SPEECH THERAPY OF CLEARWATER LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/07/2016
-----------------------------------------------------
Last Update Date | 09/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 29257 US HIGHWAY 19 N
-----------------------------------------------------
City | CLEARWATER
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33761-2102
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-201-2778
-----------------------------------------------------
Fax | 813-437-1413
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 29257 US HIGHWAY 19 N
-----------------------------------------------------
City | CLEARWATER
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33761-2102
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-201-2778
-----------------------------------------------------
Fax | 813-437-1413
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | RAQUEL FUENTES-ZAPATA
-----------------------------------------------------
Credential | MS, CCC-SLP
-----------------------------------------------------
Telephone | 727-804-8181
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 252Y00000X
-----------------------------------------------------
Taxonomy Name | Early Intervention Provider Agency
-----------------------------------------------------
License Number | SA11672
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 171W00000X
-----------------------------------------------------
Taxonomy Name | Contractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 225A00000X
-----------------------------------------------------
Taxonomy Name | Music Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------