Individual provider · Type 1 NPI

Amilcar Ivan Rodriguez, SOIDC

Independent Duty Corpsman · Fort Bragg, NC

NPI number 1194077677 Active

Practice location

1975 Combat Medic Dr
Fort Bragg, NC 28310-0001

Mailing address

136 Ivy Stone Dr
Raeford, NC 28376-7381

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002XNone listed

Independent Duty Corpsman: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and othe…

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About NPI 1194077677

Amilcar Ivan Rodriguez, SOIDC's National Provider Identifier is 1194077677, issued on Oct 9, 2012. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Fort Bragg, NC. The record was last updated on Oct 9, 2012.