Many of the patients of the Center for Executive Medicine (CEM) reside outside of the State of Arizona and a significant number travel internationally and/or have homes overseas. These members have found Dr. Mariano and her staff to be extremely helpful and resourceful in providing long distance care and referrals over the phone, email, or telemedicine.

Dr. Mariano is an expert in identifying and arranging care for patients who live abroad due to her unique experience having managed presidential health during frequent foreign travel.