MR. MICHAEL J. RODRIGUEZ SUBMARINE IDC
NPI 1275860603
Military Health Care Provider - Independent Duty Corpsman in Pearl Harbor, HI

Active since November 05, 2009
822 CLARK ST., NSSC MEDICAL SUITE 400, PEARL HARBOR, HI 96860(808) 473-3771(808) 473-3109 Get Directions Write a Review

NPPES record last updated: November 5, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Michael J. Rodriguez Submarine Idc NPPES

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

MR. MICHAEL J. RODRIGUEZ SUBMARINE IDC (NPI 1275860603) is an individual independent duty corpsman provider in Pearl Harbor, Hawaii and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1275860603
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. MICHAEL J. RODRIGUEZCredential: SUBMARINE IDC
Location Address822 CLARK ST., NSSC MEDICAL SUITE 400Pearl Harbor, HI 96860
Mailing AddressUss Key West #ssn722Fpo, AP 96683-2402 · (808) 471-5625 · Fax (808) 473-3109
Fax(808) 473-3109
Sole ProprietorNo
Enumeration DateNovember 5, 2009
NPI 1275860603 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.

822 CLARK ST., Pearl Harbor, HI 96860

Other Identifiers 1

Other7383IL · Tricare

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 Michael Rodriguez's NPI number?

The NPI number for Michael Rodriguez is 1275860603. It was assigned to this individual provider in the NPPES registry on November 5, 2009.

Where is Michael Rodriguez located?

Michael Rodriguez practices at 822 Clark St. Nssc Medical Suite 400, Pearl Harbor, HI 96860. The listed phone number is (808) 473-3771.

What is Michael 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 Michael Rodriguez was last updated on November 5, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.