Provider Demographics
NPI:1649090945
Name:CARDENAS TAMAYO, SUNEY
Entity type:Individual
Prefix:
First Name:SUNEY
Middle Name:
Last Name:CARDENAS TAMAYO
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 1:470 ELDRON DR APT 9
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-7111
Mailing Address - Country:US
Mailing Address - Phone:786-370-2508
Mailing Address - Fax:
Practice Address - Street 1:470 ELDRON DR APT 9
Practice Address - Street 2:
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-7111
Practice Address - Country:US
Practice Address - Phone:786-370-2508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-12
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-384470106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician