Doctor Name: | MARILIN MARIANA HERNANDEZ RODRIGUEZ |
NPI Number: | 1437594306 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | ACN561 |
Business Practice Address: | 7108 Causeway Blvd Tampa, FL - 336196364 |
Business Phone Number: | 8136284400 |
Business Fax Number: | 8136284500 |
Mailing Address: | 7108 Causeway Blvd, TAMPA |
State: | FL |
Postal Code: | 336196364 |
Phone Number: | 8136284400 |
Fax Number: | 8136284500 |
NPI Enumeration Date: | 05/06/2013 |
NPI Last Update Date: | 05/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ACN561 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |