MEDICARE: SERGIO ENRIQUE SANTANA COTA/L

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	OTA10856	FL

General Provider Information

NPI Number	:	1336481365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SERGIO ENRIQUE SANTANA COTA/L

Provider Business Mailing Address
First Line	:	5900 SW 150TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-2753
Country	:	US
Telephone Number	:	786-368-7353
Fax Number	:

Provider Business Practice Location Address
First Line	:	5900 SW 150TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-2753
Country	:	US
Telephone Number	:	786-368-7353
Fax Number	:

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

Provider Enumeration Date	:	03/16/2013
Last Update Date	:	03/16/2013

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