MEDICARE: SANDRA ARANGO COTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	OTA16233	FL

General Provider Information

NPI Number	:	1073072617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA ARANGO COTA

Provider Business Mailing Address
First Line	:	819 W 79TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33014-3535
Country	:	US
Telephone Number	:	786-344-9080
Fax Number	:

Provider Business Practice Location Address
First Line	:	60 NW 37TH AVE APT 501
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-4834
Country	:	US
Telephone Number	:	305-890-9691
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2019
Last Update Date	:	03/13/2019

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