MEDICARE: MISS MACARENA ALEJANDRA MANRIQUEZ-MUNOZ

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	2355S0801X	Speech-Language Assistant	200001287	DC
2	2355S0801X	Speech-Language Assistant	00927A	MD
3	2355S0801X	Speech-Language Assistant	44903	TX

General Provider Information

NPI Number	:	1962209858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MACARENA ALEJANDRA MANRIQUEZ-MUNOZ

Provider Business Mailing Address
First Line	:	2610 SPRING BEND DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-2570
Country	:	US
Telephone Number	:	202-380-7321
Fax Number	:

Provider Business Practice Location Address
First Line	:	2610 SPRING BEND DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-2570
Country	:	US
Telephone Number	:	202-380-7321
Fax Number	:

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

Provider Enumeration Date	:	02/27/2025
Last Update Date	:	02/27/2025

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Directions to “ MISS MACARENA ALEJANDRA MANRIQUEZ-MUNOZ ” Practice Location

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