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NPI Code Detail

MEDICARE: CLARIBEL TAVERAS

MEDICARE: CLARIBEL TAVERAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1184586646
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARIBEL TAVERAS
Provider Business Mailing Address
First Line : 60 JAMES FARM RD
Second Line :
City : STRATFORD
State : CT
Zip : 06614-1650
Country : US
Telephone Number : 203-895-2834
Fax Number :
Provider Business Practice Location Address
First Line : 250 UTICA AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11213-3931
Country : US
Telephone Number : 203-895-2834
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ CLARIBEL TAVERAS ” Practice Location

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