JUAN SEBASTIAN VALLEJO
NPI 1801549811
Military Health Care Provider - Independent Duty Medical Technicians in Fort Eustis, VA

Active since January 31, 2022
577 STERNBERG AVE, FORT EUSTIS, VA 23604(757) 314-7924 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Juan Sebastian Vallejo NPPES

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

JUAN SEBASTIAN VALLEJO (NPI 1801549811) is an individual independent duty medical technicians provider in Fort Eustis, Virginia and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1801549811
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameJUAN SEBASTIAN VALLEJO
Location Address577 STERNBERG AVEFort Eustis, VA 23604-5311
Mailing Address577 Sternberg AveFort Eustis, VA 23604-5311 · (757) 314-7924
Sole ProprietorNo
Enumeration DateJanuary 31, 2022
NPPES CertifiedJanuary 31, 2022
NPI 1801549811 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.
577 STERNBERG AVE, Fort Eustis, VA 23604

Other Providers at the Same Location NPPES 20

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

Dentist (Endodontics)
577 STERNBERG AVE
FORT EUSTIS, VA 23604
Dentist (Endodontics)
577 STERNBERG AVE, USA DENTAC
FT EUSTIS, VA 23604
Dentist (General Practice)
577 STERNBERG AVE
FORT EUSTIS, VA 23604
Dental Assistant
577 STERNBERG AVE
FORT EUSTIS, VA 23604
Dentist (General Practice)
577 STERNBERG AVE, HQ US ARMY DENTAL ACTIVITY
FORT EUSTIS, VA 23604
Dentist
577 STERNBERG AVE, HEADQUARTERS US ARMY DENTAL ACTIVITY CREDENTIALS OFFICE
FORT EUSTIS, VA 23604
Dentist
577 STERNBERG AVE, US ARMY DNETAL ACTIVITY
FORT EUSTIS, VA 23604
Dentist
577 STERNBERG AVE, HQ USADENTAC CREDENTIALS OFFICE
FORT EUSTIS, VA 23604

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 Juan Vallejo's NPI number?

The NPI number for Juan Vallejo is 1801549811. It was assigned to this individual provider in the NPPES registry on January 31, 2022.

Where is Juan Vallejo located?

Juan Vallejo practices at 577 Sternberg Ave, Fort Eustis, VA 23604. The listed phone number is (757) 314-7924.

What is Juan Vallejo'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 Juan Vallejo was last updated on January 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.