Provider Demographics
NPI:1235511973
Name:SANCHEZ-AMARO, ISAYRA (SLP)
Entity Type:Individual
Prefix:
First Name:ISAYRA
Middle Name:
Last Name:SANCHEZ-AMARO
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:448 SE 37TH PL
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-6208
Mailing Address - Country:US
Mailing Address - Phone:787-316-6312
Mailing Address - Fax:
Practice Address - Street 1:448 SE 37TH PL
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-6208
Practice Address - Country:US
Practice Address - Phone:787-316-6312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-18
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ7115235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist