WILSON RODRIGUEZ IDC
NPI 1174884340
Military Health Care Provider - Independent Duty Corpsman in Cleveland, OH

Q: What is Wilson Rodriguez's NPI number?

The NPI number for Wilson Rodriguez is 1174884340. It was assigned to this individual provider in the NPPES registry on June 5, 2012.

Q: What is Wilson Rodriguez'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 Wilson Rodriguez was last updated on June 5, 2012. 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.

Active since June 05, 2012

19165 PURITAS AVE, CLEVELAND, OH 44135(216) 849-7987 Get Directions Write a Review

NPPES record last updated: June 5, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Wilson Rodriguez Idc NPPES

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

WILSON RODRIGUEZ IDC (NPI 1174884340) is an individual independent duty corpsman provider in Cleveland, Ohio and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1174884340

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameWILSON RODRIGUEZCredential: IDC

Location Address19165 PURITAS AVECleveland, OH 44135-1031

Mailing Address19165 Puritas AveCleveland, OH 44135-1031

Phone(216) 849-7987

Sole ProprietorYes

Enumeration DateJune 5, 2012

✔ NPI 1174884340 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.

19165 PURITAS AVE, Cleveland, OH 44135

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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 Wilson Rodriguez's NPI number?

The NPI number for Wilson Rodriguez is 1174884340. It was assigned to this individual provider in the NPPES registry on June 5, 2012.

Where is Wilson Rodriguez located?

Wilson Rodriguez practices at 19165 Puritas Ave, Cleveland, OH 44135. The listed phone number is (216) 849-7987.

What is Wilson Rodriguez'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 Wilson Rodriguez was last updated on June 5, 2012. 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.