JESUS TEDDY ESTAVILLO GUILLERMO IDC
NPI 1427444587
Military Health Care Provider - Independent Duty Corpsman in Camp Lejeune, NC

Active since April 15, 2015
PSC BOX 20094, CAMP LEJEUNE, NC 28542(910) 451-3607 Get Directions Write a Review

NPPES record last updated: December 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jesus Teddy Estavillo Guillermo Idc NPPES

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

JESUS TEDDY ESTAVILLO GUILLERMO IDC (NPI 1427444587) is an individual independent duty corpsman provider in Camp Lejeune, North Carolina and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1427444587
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameJESUS TEDDY ESTAVILLO GUILLERMOCredential: IDC
Location AddressPSC BOX 20094Camp Lejeune, NC 28542-0094
Mailing AddressPsc Box 20094Camp Lejeune, NC 28542-0094 · (910) 451-3607
Sole ProprietorNo
Enumeration DateApril 15, 2015
Last NPPES UpdateDecember 16, 2016
NPI 1427444587 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.
PSC BOX 20094, Camp Lejeune, NC 28542

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 Jesus Teddy Guillermo's NPI number?

The NPI number for Jesus Teddy Guillermo is 1427444587. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Where is Jesus Teddy Guillermo located?

Jesus Teddy Guillermo practices at Psc Box 20094, Camp Lejeune, NC 28542. The listed phone number is (910) 451-3607.

What is Jesus Teddy Guillermo'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 Jesus Teddy Guillermo was last updated on December 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.