Mariano was born in
Cavite City in the
Philippines in 1955. Two years later, her parents arrived in the United States. Her father served in the navy as a
steward and eventually retired with the rank of
Master Chief. Mariano was the
valedictorian of her
Mar Vista High School,
Imperial Beach, California, class of 1973. She graduated from the
University of California, San Diego's
Revelle College with
cum laude honors and a degree in biology. Mariano joined the U.S. Navy in 1977, and received a
medical degree from the
Uniformed Services University of Medicine in 1981, graduating as a
lieutenant. Following graduation, she served as a doctor on serving in the Indian Ocean and Western Pacific. By 1991, Mariano was a
commander and the division head of internal medicine and director of the internal medicine clinic at the San Diego naval hospital. Only a year away from being eligible for release from active duty, she was nominated by her commanding officer to serve as Navy physician to the White House Medical Unit. She joined the unit in June 1992, serving as a physician to President
George H. W. Bush, and was about to be issued new orders to be director of the clinic at the Marine Corps Recruit Depot in San Diego when she was personally selected by the incoming President,
Bill Clinton, to be
White House Physician and director of the White House Medical Unit. As a result, she received an early promotion to
captain on December 7, 1994. In the autumn of 1999, Mariano was nominated by the President to the rank of
rear admiral (lower half); she was formally promoted in 2000. In 2001, Dr. Mariano retired from the Navy and left the White House to join the
Mayo Clinic in
Scottsdale, Arizona. She was succeeded as White House Physician by
Richard Tubb. In 2005, she went on to found the Center for Executive Medicine in Scottsdale. Hawaii State Senator
Will Espero submitted Mariano's name to
President Barack Obama for the position of
Surgeon General of the United States in May 2009. She is the author of the book
The White House Doctor: My Patients Were Presidents - A Memoir. With a foreword from Bill Clinton, the autobiographical book takes a look at the personal lives of the three American Presidents and three American First Ladies she had taken care of while working as a
Physician to the President. ==See also==