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MAURICIO FORONDA SUB IDC
NPI 1417694860
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Active since May 17, 2022
1 WAHOO AVE BLDG 499, GROTON, CT 06349(862) 812-9757 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 29, 2026, May 17, 2022 (2 updates tracked since 2022).

About Mauricio Foronda Sub Idc NPPES

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

MAURICIO FORONDA SUB IDC (NPI 1417694860) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1417694860
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMAURICIO FORONDACredential: SUB IDC
Location Address1 WAHOO AVE BLDG 499Groton, CT 06349-2324
Mailing Address1 Wahoo Ave Bldg 449Groton, CT 06349-2324
Phone(862) 812-9757
Sole ProprietorNo
Enumeration DateMay 17, 2022
Last NPPES UpdateMay 29, 20262 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1417694860 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.
1 WAHOO AVE BLDG 499, Groton, CT 06349
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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 Mauricio Foronda's NPI number?

The NPI number for Mauricio Foronda is 1417694860. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Where is Mauricio Foronda located?

Mauricio Foronda practices at 1 Wahoo Ave Bldg 499, Groton, CT 06349. The listed phone number is (862) 812-9757.

What is Mauricio Foronda'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 Mauricio Foronda was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.