MR. JOSE ANTONIO RODRIGUEZ IDMT
NPI 1699054288
Military Health Care Provider - Independent Duty Medical Technicians in Altus Afb, OK

Active since August 12, 2011
301 N 1ST ST BLDG 46, ALTUS AFB, OK 73523(240) 857-5425 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Jose Antonio Rodriguez Idmt NPPES

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

MR. JOSE ANTONIO RODRIGUEZ IDMT (NPI 1699054288) is an individual independent duty medical technicians provider in Altus Afb, Oklahoma and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1699054288
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameMR. JOSE ANTONIO RODRIGUEZCredential: IDMT
Location Address301 N 1ST ST BLDG 46Altus Afb, OK 73523-5005
Mailing Address301 N 1st St Bldg 46Altus Afb, OK 73523-5005 · (580) 481-5743
Sole ProprietorNo
Enumeration DateAugust 12, 2011
Last NPPES UpdateJune 5, 2023
NPPES CertifiedJune 5, 2023
NPI 1699054288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

301 N 1ST ST BLDG 46, Altus Afb, OK 73523

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
301 N 1ST ST BLDG 46
ALTUS AFB, OK 73523
Social Worker
301 N 1ST ST BLDG 46
ALTUS AFB, OK 73523
Physician Assistant
301 N 1ST ST BLDG 46
ALTUS AFB, OK 73523
Social Worker (Clinical)
301 N 1ST ST BLDG 46
ALTUS AFB, OK 73523
Physician Assistant (Medical)
301 N 1ST ST BLDG 46
ALTUS, OK 73523
Preventive Medicine (Aerospace Medicine)
301 N 1ST ST BLDG 46
ALTUS, OK 73523
Dentist
301 N 1ST ST BLDG 46
ALTUS AFB, OK 73523
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
301 N 1ST ST BLDG 46
ALTUS AFB, OK 73523

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 Rodriguez's NPI number?

The NPI number for Jose Rodriguez is 1699054288. It was assigned to this individual provider in the NPPES registry on August 12, 2011.

Where is Jose Rodriguez located?

Jose Rodriguez practices at 301 N 1st St Bldg 46, Altus Afb, OK 73523. The listed phone number is (240) 857-5425.

What is Jose Rodriguez's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Jose Rodriguez was last updated on June 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.