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JUAN CAMACHOACLDERON
NPI 1114295052
Military Health Care Provider - Independent Duty Corpsman in Summerville, SC

Active since December 07, 2011
204 MAPLEWOOD RIDGE, SUMMERVILLE, SC 29483(410) 841-4747 Get Directions Write a Review

NPPES record last updated: December 7, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Juan Camachoaclderon NPPES

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

JUAN CAMACHOACLDERON (NPI 1114295052) is an individual independent duty corpsman provider in Summerville, South Carolina and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1114295052
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameJUAN CAMACHOACLDERON
Location Address204 MAPLEWOOD RIDGESummerville, SC 29483
Mailing Address204 Maplewood RidgeSummerville, SC 29483
Phone(410) 841-4747
Sole ProprietorYes
Enumeration DateDecember 7, 2011
✔ NPI 1114295052 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.
204 MAPLEWOOD RIDGE, Summerville, SC 29483
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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 Juan Camachoaclderon's NPI number?

The NPI number for Juan Camachoaclderon is 1114295052. It was assigned to this individual provider in the NPPES registry on December 7, 2011.

Where is Juan Camachoaclderon located?

Juan Camachoaclderon practices at 204 Maplewood Ridge, Summerville, SC 29483. The listed phone number is (410) 841-4747.

What is Juan Camachoaclderon'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 Juan Camachoaclderon was last updated on December 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.