person
Mr. Roden Rosario Quibuyen, PA-C
Military Health Care Provider in San Diego, California
NPI 1043409162

Roden Rosario Quibuyen is a Military Health Care Provider based in San Diego, CA. Roden Rosario Quibuyen practices in San Diego, CA and has the professional credentials of PA-C. The NPI Number for Roden Rosario Quibuyen is 1043409162 and holds a License No. (California).

The current practice location address for Roden Rosario Quibuyen is 35000 Guadalcanal St, San Diego, CA and can be reached out via phone at 619-524-1963 and via fax at 619-532-9510.

Location: 35000 Guadalcanal St, San Diego, CA, 92140-5599
person
Provider Profile Details
NPI Number
1043409162
Provider Name
Roden Rosario Quibuyen
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
35000 Guadalcanal St, San Diego, CA, 92140-5599
Phone Number
619-524-1963
Fax Number
619-532-9510
Provider Enumeration Date
10/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
35000 Guadalcanal St
City
State
Zip
92140-5599
Phone Number
619-524-1963
Fax Number
619-532-9510
person
Provider Business Mailing Address Details
Address
35000 Guadalcanal St
City
State
Zip
92140-5599
Phone Number
619-524-1963
Fax Number
619-532-9510
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
1151164 (California)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
Independent Duty Corpsman
Taxonomy
License No.
()
Definition
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.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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