MEDICARE: MARIA MANRIQUEZ-SANCHEZ MD

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	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	A77827	CA
2	207V00000X	Obstetrics & Gynecology Physician	A77827	CA
3	207V00000X	Obstetrics & Gynecology Physician	29090	AZ
4	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	29090	AZ

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	:	1417900952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA MANRIQUEZ-SANCHEZ MD

Provider Business Mailing Address
First Line	:	2901 N CENTRAL AVE STE 160
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-2702
Country	:	US
Telephone Number	:	602-747-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1441 N 12TH ST FL 3
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2837
Country	:	US
Telephone Number	:	602-521-5700
Fax Number	:	602-521-5701

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

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	12/10/2025

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