Provider Demographics
NPI:1306543764
Name:TAVERAS, ARGENYS (LMSW)
Entity type:Individual
Prefix:MR
First Name:ARGENYS
Middle Name:
Last Name:TAVERAS
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 CALLE CARLOS GARDEL
Mailing Address - Street 2:BO. MIRADERO
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681
Mailing Address - Country:US
Mailing Address - Phone:787-484-4403
Mailing Address - Fax:
Practice Address - Street 1:220 CALLE CARLOS GARDEL
Practice Address - Street 2:BO. MIRADERO
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00681
Practice Address - Country:US
Practice Address - Phone:787-484-4403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY113270104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker