Active NPI
Maria Elena Manrique, MT2878
- Marriage & Family Therapist
- Miami, FL
National Provider Identifier
1083960405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMT1586
- Practice address
- 5001 SW 74TH CT
Suite 104
Miami, FL 33155-4483 - Phone
- (786) 955-8632
- NPI assigned
- Aug 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMT1586 | FL | Primary |
Addresses
Primary practice location
5001 SW 74TH CT
Suite 104
Miami, FL 33155-4483
Mailing address
5001 SW 74TH CT Ste 104
Miami, FL 33155-4452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMT1586 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1083960405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 SW 74TH CT STE 104",
"city": "MIAMI",
"state": "FL",
"postal_code": "331554452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 SW 74TH CT",
"address_2": "SUITE 104",
"city": "MIAMI",
"state": "FL",
"postal_code": "331554483",
"telephone_number": "786-955-8632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANRIQUE",
"first_name": "MARIA",
"middle_name": "ELENA",
"credential": "MT2878",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-03",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "IMT1586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.