Provider Demographics
NPI:1629026042
Name:CARTAYA, ANDRES (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANDRES
Middle Name:
Last Name:CARTAYA
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 SW 87TH PATH
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-3931
Mailing Address - Country:US
Mailing Address - Phone:305-222-1939
Mailing Address - Fax:
Practice Address - Street 1:10691 N KENDALL DR STE 105
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176
Practice Address - Country:US
Practice Address - Phone:305-669-6018
Practice Address - Fax:306-668-6016
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2018-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6655103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0085252000Medicaid