DESMOND JACOB MARROQUIN
NPI 1003585399
Military Health Care Provider - Independent Duty Medical Technicians in Shaw Afb, SC

Active since September 09, 2021
420 POLIFKA DR, SHAW AFB, SC 29152(803) 885-0249 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Desmond Jacob Marroquin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESMOND JACOB MARROQUIN (NPI 1003585399) is an individual independent duty medical technicians provider in Shaw Afb, South Carolina and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1003585399
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameDESMOND JACOB MARROQUIN
Location Address420 POLIFKA DRShaw Afb, SC 29152-5100
Mailing Address420 Polifka DrShaw Afb, SC 29152-5100 · (803) 885-0249
Sole ProprietorNo
Enumeration DateSeptember 9, 2021
Last NPPES UpdateNovember 26, 2024
NPPES CertifiedNovember 26, 2024
NPI 1003585399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

420 POLIFKA DR, Shaw Afb, SC 29152

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Women's Health)
420 POLIFKA DR
SHAW AFB, SC 29152
Psychiatry & Neurology (Psychiatry)
420 POLIFKA DR
SHAW AFB, SC 29152
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
420 POLIFKA DR
SHAW AFB, SC 29152
Family Medicine
420 POLIFKA DR
SHAW AFB, SC 29152
Registered Nurse (Case Management)
420 POLIFKA DR
SHAW AFB, SC 29152
Physician Assistant
420 POLIFKA DR
SHAW AFB, SC 29152
Nurse Practitioner (Family)
420 POLIFKA DR
SHAW AFB, SC 29152
Military Health Care Provider (Independent Duty Medical Technicians)
420 POLIFKA DR
SHAW AFB, SC 29152

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desmond Marroquin's NPI number?

The NPI number for Desmond Marroquin is 1003585399. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Where is Desmond Marroquin located?

Desmond Marroquin practices at 420 Polifka Dr, Shaw Afb, SC 29152. The listed phone number is (803) 885-0249.

What is Desmond Marroquin's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Desmond Marroquin was last updated on November 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.