Individual provider · Type 1 NPI

Roden Rosario Quibuyen, PA-C

Military Health Care Provider · San Diego, CA

NPI number 1043409162 Active

Practice location

35000 Guadalcanal St
San Diego, CA 92140-5599

Call (619) 524-1963 Map

Fax (619) 532-9510

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman 1710I1002XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Military Health Care Provider Primary 171000000X1151164 (CA)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1043409162

Roden Rosario Quibuyen, PA-C's National Provider Identifier is 1043409162, issued on Oct 15, 2007. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in San Diego, CA. The record was last updated on Feb 23, 2021.