MR. RODEN ROSARIO QUIBUYEN PA-C NPI 1043409162

NPI Information

NPI: 1043409162
Provider Name: MR. RODEN ROSARIO QUIBUYEN, PA-C
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual
Address:
35000 GUADALCANAL ST
SAN DIEGO, CA
ZIP 92140
Phone: (619) 524-1963
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MR. Roden Rosario Quibuyen, PA-C is a military health care provider in San Diego, CA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. MR. Roden Rosario Quibuyen, PA-C NPI is 1043409162. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

35000 GUADALCANAL ST
SAN DIEGO, CA
ZIP 92140-599
Phone: (619) 524-1963
Fax: (619) 532-9510

The enumeration date for this NPI number is 10/15/2007 and was last updated on 2/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1710I1002X	Military Health Care Provider	Independent Duty Corpsman			No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	171000000X	Military Health Care Provider		1151164	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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