MEDICARE: DR. MARILIN MARIANA HERNANDEZ RODRIGUEZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	ACN561	FL
2	208D00000X	General Practice Physician	ME135985	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437594306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARILIN MARIANA HERNANDEZ RODRIGUEZ MD

Provider Business Mailing Address
First Line	:	8330 STONE RUN CT STE 102
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-1880
Country	:	US
Telephone Number	:	813-712-1726
Fax Number	:	813-925-4640

Provider Business Practice Location Address
First Line	:	8330 STONE RUN CT STE 102
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-1880
Country	:	US
Telephone Number	:	813-712-1726
Fax Number	:	813-925-4640

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2013
Last Update Date	:	11/17/2025

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