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MR. ELIAS CEDILLO IV IDC
NPI 1225400104
Military Health Care Provider - Independent Duty Corpsman in Minneapolis, MN

Active since October 30, 2015
5905 34TH AVE S, MINNEAPOLIS, MN 55450(612) 713-4849 Get Directions Write a Review

NPPES record last updated: October 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Elias Cedillo Iv Idc NPPES

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

MR. ELIAS CEDILLO IV IDC (NPI 1225400104) is an individual independent duty corpsman provider in Minneapolis, Minnesota and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1225400104
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. ELIAS CEDILLO IVCredential: IDC
Location Address5905 34TH AVE SMinneapolis, MN 55450-2900
Mailing Address5905 34th Ave SMinneapolis, MN 55450-2900 · (612) 713-4849
Phone(612) 713-4849
Sole ProprietorNo
Enumeration DateOctober 30, 2015
✔ NPI 1225400104 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.
5905 34TH AVE S, Minneapolis, MN 55450
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MARK ALLEN TAYLOR IDC
Military Health Care Provider (Independent Duty Corpsman)
5905 34TH AVE S
MINNEAPOLIS, MN 55450
Hennepin County (612) 713-4849
MISS SARAH RENE LIGGETT DO
Military Health Care Provider
5905 34TH AVE S
MINNEAPOLIS, MN 55450
Hennepin County (612) 713-4600

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 Elias Cedillo's NPI number?

The NPI number for Elias Cedillo is 1225400104. It was assigned to this individual provider in the NPPES registry on October 30, 2015.

Where is Elias Cedillo located?

Elias Cedillo practices at 5905 34th Ave S, Minneapolis, MN 55450. The listed phone number is (612) 713-4849.

What is Elias Cedillo'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 Elias Cedillo was last updated on October 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.