MR. ENRIQUE ESCAPOLAR DEDIOS JR.
NPI 1023073194
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Enrique Dedios's NPI number?

The NPI number for Enrique Dedios is 1023073194. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Q: What is Enrique Dedios's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Enrique Dedios was last updated on March 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2006

34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-6666(619) 532-9955 Get Directions Write a Review

NPPES record last updated: March 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Enrique Escapolar Dedios Jr. NPPES

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

MR. ENRIQUE ESCAPOLAR DEDIOS JR. (NPI 1023073194) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1023073194

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. ENRIQUE ESCAPOLAR DEDIOS JR.

Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098

Mailing Address34800 Bob Wilson DriveSan Diego, CA 92134-5000 · (619) 532-6666 · Fax (619) 532-9955

Phone(619) 532-6666

Fax(619) 532-9955

Sole ProprietorNo

Enumeration DateApril 19, 2006

Last NPPES UpdateMarch 28, 2008

✔ NPI 1023073194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

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.

34800 BOB WILSON DR, San Diego, CA 92134

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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.

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