BENITO MANGROBANG CALIBOSO JR. IDMT
NPI 1902120736
Military Health Care Provider - Independent Duty Medical Technicians in Vallejo, CA

Active since March 23, 2010
330 SAN MARINO AVE, VALLEJO, CA 94589(707) 557-6210 Get Directions Write a Review

NPPES record last updated: April 19, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Benito Mangrobang Caliboso Jr. Idmt NPPES

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

BENITO MANGROBANG CALIBOSO JR. IDMT (NPI 1902120736) is an individual independent duty medical technicians provider in Vallejo, California and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1902120736
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameBENITO MANGROBANG CALIBOSO JR.Credential: IDMT
Location Address330 SAN MARINO AVEVallejo, CA 94589-2656
Mailing Address330 San Marino AveVallejo, CA 94589-2656 · (707) 557-6210
Sole ProprietorNo
Enumeration DateMarch 23, 2010
Last NPPES UpdateApril 19, 2011
NPI 1902120736 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.

330 SAN MARINO AVE, Vallejo, CA 94589

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 Benito Caliboso's NPI number?

The NPI number for Benito Caliboso is 1902120736. It was assigned to this individual provider in the NPPES registry on March 23, 2010.

Where is Benito Caliboso located?

Benito Caliboso practices at 330 San Marino Ave, Vallejo, CA 94589. The listed phone number is (707) 557-6210.

What is Benito Caliboso'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 Benito Caliboso was last updated on April 19, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.