ENRIQUE VILLANUEVA SOIDC
NPI 1508527060
Military Health Care Provider - Independent Duty Corpsman in Camp Pendleton, CA

Q: What is Enrique Villanueva's NPI number?

The NPI number for Enrique Villanueva is 1508527060. It was assigned to this individual provider in the NPPES registry on January 6, 2022.

Q: What is Enrique Villanueva's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Active since January 06, 2022

BLDG 210730 C STREET, CAMP PENDLETON, CA 92055(407) 433-7822 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Enrique Villanueva Soidc NPPES

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

ENRIQUE VILLANUEVA SOIDC (NPI 1508527060) is an individual independent duty corpsman provider in Camp Pendleton, California and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1508527060

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameENRIQUE VILLANUEVACredential: SOIDC

Location AddressBLDG 210730 C STREETCamp Pendleton, CA 92055-5243

Mailing AddressPo Box 555243Camp Pendleton, CA 92055-5243 · (407) 433-7822

Phone(407) 433-7822

Sole ProprietorNo

Enumeration DateJanuary 6, 2022

NPPES CertifiedJanuary 5, 2022

✔ NPI 1508527060 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 210730 C STREET, Camp Pendleton, CA 92055

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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 Enrique Villanueva's NPI number?

The NPI number for Enrique Villanueva is 1508527060. It was assigned to this individual provider in the NPPES registry on January 6, 2022.

Where is Enrique Villanueva located?

Enrique Villanueva practices at Bldg 210730 C Street, Camp Pendleton, CA 92055. The listed phone number is (407) 433-7822.

What is Enrique Villanueva'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 Enrique Villanueva was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.