Provider Demographics
NPI:1891192886
Name:SANCHEZ, MAYLYS
Entity type:Individual
Prefix:
First Name:MAYLYS
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2786 SW 30TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-2934
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2786 SW 30TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-2934
Practice Address - Country:US
Practice Address - Phone:305-766-3263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-19
Last Update Date:2025-01-30
Deactivation Date:2023-09-27
Deactivation Code:
Reactivation Date:2025-01-27
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-295686106S00000X
FLMA61328261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician