MEDICARE: DR. MANRIQUE OSCAR IRIARTE M.D.

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
1	207R00000X	Internal Medicine Physician	ME116904	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003096587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANRIQUE OSCAR IRIARTE M.D.

Provider Business Mailing Address
First Line	:	429 NW 130TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33182-1143
Country	:	US
Telephone Number	:	305-781-4815
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 GOODLETTE RD STE 200
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-5408
Country	:	US
Telephone Number	:	239-302-3300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2007
Last Update Date	:	08/26/2025

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