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MR. JOSE LUIS ALONSO IDC
NPI 1629342076
Military Health Care Provider - Independent Duty Corpsman in Ormond Beach, FL

Active since March 02, 2012
3560 OCEAN SHORE BLVD, ORMOND BEACH, FL 32176(386) 366-4888 Get Directions Write a Review

NPPES record last updated: March 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jose Luis Alonso Idc NPPES

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

MR. JOSE LUIS ALONSO IDC (NPI 1629342076) is an individual independent duty corpsman provider in Ormond Beach, Florida and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1629342076
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. JOSE LUIS ALONSOCredential: IDC
Location Address3560 OCEAN SHORE BLVDOrmond Beach, FL 32176-2178
Mailing Address3560 Ocean Shore BlvdOrmond Beach, FL 32176-2178 · (386) 366-4888
Phone(386) 366-4888
Sole ProprietorYes
Enumeration DateMarch 2, 2012
✔ NPI 1629342076 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.
3560 OCEAN SHORE BLVD, Ormond Beach, FL 32176
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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 Jose Alonso's NPI number?

The NPI number for Jose Alonso is 1629342076. It was assigned to this individual provider in the NPPES registry on March 2, 2012.

Where is Jose Alonso located?

Jose Alonso practices at 3560 Ocean Shore Blvd, Ormond Beach, FL 32176. The listed phone number is (386) 366-4888.

What is Jose Alonso'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 Jose Alonso was last updated on March 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.