DR. RANDOLPH DACANAY MANRIQUEZ D.O.
NPI 1619237138
Student in an Organized Health Care Education/Training Program in Riverhead, NY

Active since May 17, 2012
1300 ROANOKE AVE, RIVERHEAD, NY 11901(631) 548-6442 Get Directions Write a Review

NPPES record last updated: May 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Randolph Dacanay Manriquez D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDOLPH DACANAY MANRIQUEZ D.O. (NPI 1619237138) is an individual student in an organized health care education/training program in Riverhead, New York and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1619237138
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. RANDOLPH DACANAY MANRIQUEZCredential: D.O.
Location Address1300 ROANOKE AVERiverhead, NY 11901-2031
Mailing Address221 Turnberry Ct NAtlantis, FL 33462-1028 · (561) 386-7699
Sole ProprietorNo
Enumeration DateMay 17, 2012
NPI 1619237138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1300 ROANOKE AVE, Riverhead, NY 11901

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1300 ROANOKE AVE, DEPARTMENT OF EMERGENCY MEDICINE
RIVERHEAD, NY 11901
Hospitalist
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Emergency Medicine
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Anesthesiology
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Practitioner (Adult Health)
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Practitioner (Acute Care)
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Anesthetist, Certified Registered
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Surgery
1300 ROANOKE AVE
RIVERHEAD, NY 11901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randolph Manriquez's NPI number?

The NPI number for Randolph Manriquez is 1619237138. It was assigned to this individual provider in the NPPES registry on May 17, 2012.

Where is Randolph Manriquez located?

Randolph Manriquez practices at 1300 Roanoke Ave, Riverhead, NY 11901. The listed phone number is (631) 548-6442.

What is Randolph Manriquez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Randolph Manriquez was last updated on May 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.