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

Marino D Tavarez, MD

Individual provider Family Medicine Physician · NPI 1518049865

Marino D Tavarez, MD is a Family Practice in Lyons, New York. Qualified in 1999, 27 years ago. Practices with Rochester General Hospital, a 1,197-clinician group and accepts Medicare assignment. Licensed in Hawaii, New York and Pennsylvania.

Years since qualifying
27
Licensed in
HI, NY, PA
In the registry since
2006
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12 Leach Rd Lyons Health Ctr
Lyons, NY 14489-9732
Phone: (315) 946-6075
Fax: (315) 946-4254
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 232852 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD441558 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 12860 (HI)
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X · Licence 232852 (NY)
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X · Licence MD441558 (PA)
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X · Licence 12860 (HI)

Record details

NPI number1518049865
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 19, 2006
Last updated in NPPESJanuary 5, 2015
Mailing address12 Leach Rd, Lyons Health Center, Lyons, NY 14489-9732

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Rochester General Hospital — 1197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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