Provider Demographics
NPI:1215370077
Name:ZUNIGA MANRIQUE, MARIA GERALDINE (MD)
Entity Type:Individual
Prefix:
First Name:MARIA GERALDINE
Middle Name:
Last Name:ZUNIGA MANRIQUE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 SPURS LN STE 245
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1689
Mailing Address - Country:US
Mailing Address - Phone:210-547-1550
Mailing Address - Fax:210-615-6814
Practice Address - Street 1:21 SPURS LN STE 245
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1689
Practice Address - Country:US
Practice Address - Phone:210-547-1550
Practice Address - Fax:210-615-6814
Is Sole Proprietor?:No
Enumeration Date:2013-04-11
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT7404207YX0901X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program