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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. NEILROSE LACISTE GERVACIO IDC
NPI 1063460210
Military Health Care Provider - Independent Duty Corpsman in Fpo, AP

Active since May 04, 2006
CAMP SCHWAB BMC, 3D MED BN, 3D MLG, C CO, FPO, AP 96604 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Neilrose Laciste Gervacio Idc NPPES

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

MR. NEILROSE LACISTE GERVACIO IDC (NPI 1063460210) is an individual independent duty corpsman provider in Fpo, AP and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1063460210
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. NEILROSE LACISTE GERVACIOCredential: IDC
Location AddressCAMP SCHWAB BMC, 3D MED BN, 3D MLG, C COFpo, AP 96604
Mailing AddressPsc 557 Box 2631Fpo, AP 96379
Phone011816117252272
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1063460210 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.
CAMP SCHWAB BMC, Fpo, AP 96604
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Other Identifiers 1

Other1710I1002XIndependent Duty Corpsman

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 Neilrose Gervacio's NPI number?

The NPI number for Neilrose Gervacio is 1063460210. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Neilrose Gervacio located?

Neilrose Gervacio practices at Camp Schwab Bmc 3D Med Bn, 3D Mlg, C Co, Fpo, AP 96604.

What is Neilrose Gervacio's specialty?

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

When was this NPI record last updated?

The NPPES record for Neilrose Gervacio was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.