Provider Demographics
NPI:1295105989
Name:ARGUELLES-ALCAZAR, MARIANA (MSW)
Entity type:Individual
Prefix:
First Name:MARIANA
Middle Name:
Last Name:ARGUELLES-ALCAZAR
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 W. SOMERSET ST
Mailing Address - Street 2:ESFUERZO PROGRAM
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19133
Mailing Address - Country:US
Mailing Address - Phone:267-576-9611
Mailing Address - Fax:215-223-2936
Practice Address - Street 1:216 W. SOMERSET ST
Practice Address - Street 2:ESFUERZO PROGRAM
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19133
Practice Address - Country:US
Practice Address - Phone:267-576-9611
Practice Address - Fax:215-223-2936
Is Sole Proprietor?:No
Enumeration Date:2015-10-07
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other