1. Home
  2. Directory
  3. Connecticut
  4. Groton
  5. Military Health Care Provider
  6. NPI Profile

BALDEMAR VILLARREAL IDC
NPI 1346092160
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Active since April 04, 2024
BLDG 159 TROUT AVE, GROTON, CT 06340(210) 815-0930 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Baldemar Villarreal Idc NPPES

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

BALDEMAR VILLARREAL IDC (NPI 1346092160) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1346092160
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameBALDEMAR VILLARREALCredential: IDC
Location AddressBLDG 159 TROUT AVEGroton, CT 06340
Mailing Address60 Arrowood DrGroton, CT 06340-2544 · (210) 815-0930
Phone(210) 815-0930
Sole ProprietorNo
Enumeration DateApril 4, 2024
NPPES CertifiedApril 2, 2024
✔ NPI 1346092160 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.
BLDG 159 TROUT AVE, Groton, CT 06340
Open in Google Maps ↗

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 Baldemar Villarreal's NPI number?

The NPI number for Baldemar Villarreal is 1346092160. It was assigned to this individual provider in the NPPES registry on April 4, 2024.

Where is Baldemar Villarreal located?

Baldemar Villarreal practices at Bldg 159 Trout Ave, Groton, CT 06340. The listed phone number is (210) 815-0930.

What is Baldemar Villarreal'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 Baldemar Villarreal was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.