# DR. MARINILDA RODRIGUEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1710972716
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | SC004807 | PA | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | SC-004807 | PA | — |
| 213ER0200X | Radiology Podiatrist | SC-004807 | PA | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC-004807 | PA | Yes |
| 213ES0131X | Foot Surgery Podiatrist | SC-004807 | PA | — |

## Other

- **Enumeration date:** 09/15/2005
- **Last updated:** 04/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0123110 | GHI | — |
| 01 | — | 101450010 0001 | MEDICAID | — |
| 05 | — | 1014500100001 | — | PA |
| 01 | — | 1761920 | HIGMARK BHLUE SHIELD | — |
| 01 | — | 50056100 | CAPITAL BLUE CROSS | — |
| 01 | — | 5669603 | CIGNA | — |
| 01 | — | INDEPENDENCE BLUE CR | 1763939 | — |