Urbanization causes environmental impacts that threaten the health of aquatic communities and alter their recovery patterns. In this study, we evaluated the diversity of intertidal fish in six areas affected by urbanization (areas with native vegetation, deforested areas, and areas in process of restoration of vegetation) along an urban waterfront in the Amazon River. 20 species were identified, representing 17 genera, 14 families, and 8 orders. The different degrees of habitat degradation had a major effect on the composition of the fish fauna; the two least affected sectors were the only ones in that all 20 species were found. Eight species were recorded in the most degraded areas. The analysis revealed two well-defined groups, coinciding with the sectors in better ecological quality and degraded areas, respectively. The native vegetation has been identified as the crucial factor to the recovery and homeostasis of the studied ecosystem, justifying its legal protection and its use in the restoration and conservation of altered and threatened environments. These results reinforce the importance of maintaining the native vegetation as well as its restoration in order to benefit of the fish populations in intertidal zones impacted by alterations resulting from inadequate urbanization.