Provider Demographics
NPI:1699574848
Name:CUAMATZI CASTELAN, ANDREA S
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:S
Last Name:CUAMATZI CASTELAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:S
Other - Last Name:CASTELAN URIBE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:531 N ASHLAND AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-6355
Mailing Address - Country:US
Mailing Address - Phone:734-277-0815
Mailing Address - Fax:
Practice Address - Street 1:531 N ASHLAND AVE FL 1
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-6355
Practice Address - Country:US
Practice Address - Phone:734-277-0815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program