Provider Demographics
NPI:1013628072
Name:CARTAYA ALMAGUER, JOSE DE LOS ANGELES
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:DE LOS ANGELES
Last Name:CARTAYA ALMAGUER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11869 OSPREY POINT CIR
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33449-8370
Mailing Address - Country:US
Mailing Address - Phone:561-306-3104
Mailing Address - Fax:
Practice Address - Street 1:2601 S MILITARY TRL STE 1
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-7509
Practice Address - Country:US
Practice Address - Phone:561-835-5001
Practice Address - Fax:954-400-3005
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-12
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11022776363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner