Individual provider · Type 1 NPI

Edward John Ronquillo, SF IDC

Independent Duty Corpsman · Chula Vista, CA

NPI number 1316225519 Active

Practice location

1642 Hickory Nut Pl
Chula Vista, CA 91915-1728

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 1316225519

Edward John Ronquillo, SF IDC's National Provider Identifier is 1316225519, issued on Jul 22, 2011. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Chula Vista, CA. The record was last updated on Jul 22, 2011.