Provider Demographics
NPI:1962209858
Name:MANRIQUEZ-MUNOZ, MACARENA ALEJANDRA
Entity type:Individual
Prefix:MISS
First Name:MACARENA
Middle Name:ALEJANDRA
Last Name:MANRIQUEZ-MUNOZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:MACARENA
Other - Middle Name:ALEJANDRA
Other - Last Name:MANRIQUEZ-MUNOZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2610 SPRING BEND DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-2570
Mailing Address - Country:US
Mailing Address - Phone:202-380-7321
Mailing Address - Fax:
Practice Address - Street 1:2610 SPRING BEND DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-2570
Practice Address - Country:US
Practice Address - Phone:202-380-7321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC2000012872355S0801X
MD00927A2355S0801X
TX449032355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant