# MARINILDA RODRIGUEZ, DPM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265468722
- **Authorized official:** MARINILDA RODRIGUEZ DPM (OWNER)
- **Authorized official phone:** (484) 664-2170

## Contact information

- **Practice address:** 101 S 17TH ST, ALLENTOWN, PA 18104-6704
- **Practice address phone:** (484) 664-2170
- **Mailing address:** PO BOX 90567, ALLENTOWN, PA 18109-0567
- **Mailing address phone:** (484) 664-2170
- **Mailing address fax:** (484) 664-2171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | SC004807 | PA | — |
| 213ES0000X | Sports Medicine Podiatrist | SC004807 | PA | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC004807 | PA | Yes |
| 213ES0131X | Foot Surgery Podiatrist | SC004807 | PA | — |

## Other

- **Enumeration date:** 06/24/2006
- **Last updated:** 11/15/2007