ALEXANDER P HAEDO-GONZALEZ
NPI 1447657002
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since November 25, 2014
4590 ZION AVE APT 13, SAN DIEGO, CA 92120(850) 375-3984 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alexander P Haedo-gonzalez NPPES

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

ALEXANDER P HAEDO-GONZALEZ (NPI 1447657002) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1447657002
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameALEXANDER P HAEDO-GONZALEZ
Location Address4590 ZION AVE APT 13San Diego, CA 92120-2537
Mailing Address4590 Zion Ave Apt 13San Diego, CA 92120-2537 · (850) 375-3984
Sole ProprietorNo
Enumeration DateNovember 25, 2014
NPI 1447657002 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.

4590 ZION AVE APT 13, San Diego, CA 92120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447657002, enumerated as an "individual" on November 25, 2014.

The provider is located at 4590 ZION AVE APT 13 SAN DIEGO, CA 92120 and the phone number is (850) 375-3984.

Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.