JUAN CAMACHOACLDERON – NPI #1114295052
Military Health Care Provider
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 other supporting forces such as contractors and foreign nationals.
JUAN CAMACHOACLDERON is a military health care provider located in SUMMERVILLE, SC. NPPES has assigned the NPI number 1114295052 to JUAN CAMACHOACLDERON on December 07, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 1710I1002X from the Health Care Provider Taxonomy code set, which is classified as Military Health Care Provider, specializing in Independent Duty Corpsman
See the complete NPI profile for JUAN CAMACHOACLDERON below.
NPI Profile for
JUAN CAMACHOACLDERON
(more than 14 years ago)
SUMMERVILLE, SC 29483 Phone: (410) 841-4747 Fax:
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 1710I1002X - Military Health Care Provider / Independent Duty Corpsman (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.