Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gustavo Marino

Individual provider General Practice Physician · NPI 1124727516

Gustavo Marino is a General Practice Physician in Fort Sam Houston, Texas. Licensed in Virginia. Registered with an NPI since 2023.

Licensed in
VA
In the registry since
2023

Practice location Address checks out

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone: (813) 337-8482
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 0101283844 (VA)

Record details

NPI number1124727516
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 24, 2023
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024
Mailing address3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504

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