The purpose of this paper is to document the early Spanish speech development of a toddler, K, whose cochlear implant was activated at age 20 months. The contribution of K's developmental pattern to research is unique in that Spanish is the sole language of the home, as well as being the language of intervention up to 16 months postimplant (3 years chronological age). Early organization of consonant-vowel structures was consistent with other cochlear implant (CI) recipients who were learning English and generally support the theoretical perspective that the oral motor system has a fundamental role in the organization of early speech production. Overall accuracy of speech of words at 12 months postimplant showed that K had substantially greater word accuracy compared to English-speaking CI peers with the same age of implantation and device. These results highlight the phonetic and phonologic differences between English and Spanish which have direct clinical application in the provision of speech intervention services to children whose first language is Spanish.