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RICHARD LEON MANRIQUE MD NPI 1548299332


NPI Information

NPI: 1548299332
Provider Name: RICHARD LEON MANRIQUE, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1816 EAGLE DR
SUITE 200-B
WOODSTOCK, GA
ZIP 30189
Phone: (404) 822-5605
Get Directions

Richard Leon Manrique, MD is a general practice in Woodstock, GA with 42 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Richard Leon Manrique, MD NPI is 1548299332. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduation Year:1982

The provider's business location address is:

1816 EAGLE DR
SUITE 200-B
WOODSTOCK, GA
ZIP 30189-272
Phone: (404) 822-5605

The NPI 1548299332 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 9/21/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine031286GEORGIANo
2208D00000XGeneral Practice031286GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
193BBKCJMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
293BFBXFMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
308BBRDRMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
4000395216LMEDICAIDGEORGIA
5E19601MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.