DANIEL RENE VILLELA SUBMARINE IDC NPI 1528644960

NPI Information

Daniel Rene Villela, SUBMARINE IDC is an independent duty corpsman military health care provider in Groton, CT. The provider is 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. Daniel Rene Villela, SUBMARINE IDC NPI is 1528644960. 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:

166 ARROWOOD DR
GROTON, CT
ZIP 06340-509
Phone: (912) 506-8705

The enumeration date for this NPI number is 3/23/2021 and was last updated on 3/23/2021.

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:

Other Identifiers

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