Individual
ANA MANRIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3401 CIVIC CENTER BLVD, SUITE 9329, PHILADELPHIA, PA 19104
(215) 590-1867
(215) 590-5824
Mailing address
105 ADMIRALS WAY, PHILADELPHIA, PA 19146-5211
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD445732
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
446870EJL
PTAN
PA
Enumeration date
06/20/2008
Last updated
12/29/2022
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