Provider Demographics
NPI:1053108787
Name:SANCHEZ, AMAURY (COTA)
Entity type:Individual
Prefix:
First Name:AMAURY
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2109 NE 38TH RD
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-5105
Mailing Address - Country:US
Mailing Address - Phone:786-486-1714
Mailing Address - Fax:
Practice Address - Street 1:300 SW 107TH AVE STE 205
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-3602
Practice Address - Country:US
Practice Address - Phone:305-209-0038
Practice Address - Fax:305-675-7767
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL17864224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant