MR. RODEN ROSARIO QUIBUYEN PA-C
NPI 1043409162
Military Health Care Provider in San Diego, CA

Q: What is the provider's specialty?

The provider's specialty is Military Health Care Provider with taxonomy code 171000000X.

Active since October 15, 2007

35000 GUADALCANAL ST, SAN DIEGO, CA 92140(619) 524-1963(619) 532-9510 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Roden Rosario Quibuyen Pa-c NPPES

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

MR. RODEN ROSARIO QUIBUYEN PA-C (NPI 1043409162) is an individual military health care provider provider in San Diego, California, licensed in California (1151164) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1043409162

Entity TypeIndividualMale

Primary Taxonomy171000000X

Provider Legal NameMR. RODEN ROSARIO QUIBUYENCredential: PA-C

Location Address35000 GUADALCANAL STSan Diego, CA 92140-5599

Mailing Address35000 Guadalcanal StSan Diego, CA 92140-5599 · (619) 524-1963 · Fax (619) 524-8072

Phone(619) 524-1963

Fax(619) 532-9510

Sole ProprietorYes

Enumeration DateOctober 15, 2007

Last NPPES UpdateFebruary 23, 2021

NPPES CertifiedFebruary 23, 2021

✔ NPI 1043409162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers

Taxonomy Code171000000X

License✔ Licensed in CA · 1151164

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Also ListedMilitary Health Care Provider · Independent Duty CorpsmanTaxonomy 1710I1002X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

35000 GUADALCANAL ST, San Diego, CA 92140

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