EDUARDO SERVIN (NPI# 1144725839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144725839 |
| Entity Type | Individual |
| Full Name | EDUARDO SERVIN |
| Credential | IDC |
| Practice Address |
Naval Base Guam Eodmu 5 Santa Rita GU 96540-0003 |
| Mailing Address |
Psc 455 Box 202 Fpo AP 96540-0003 |
| Practice Telephone | 6713332739 |
| Mailing Telephone | 6713332739 |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
NAVAL BASE GUAM EODMU 5 |
| City | SANTA RITA |
| State | GU |
| Zip Code | 96540-0003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730749714 | Tristan J. Kizy | Registered Nurse | Us Naval Hospital Guam Psc 455, Fpo, AP 96540 | 2019-06-20 |
| 1669983060 | Sze King Tang | Pharmacist | U.S. Naval Hospital Guam Pharmacy PCs 455, Fpo, GU 96540 | 2017-10-12 |
| 1750763637 | Kathleen R Montanez | Military Health Care Provider | Naval Hospital Guam Psc 455, Fpo, AP 96540 | 2015-06-26 |
| 1740488485 | Devron John Felder | Military Health Care Provider | Naval Special Warfare Unit One, Psc 455 Box 182, Fpo, AP 96540 | 2007-07-03 |
| 1881086502 | Katherine Biggs | Emergency Medicine | U.S. Naval Hospital Guam, Psc 455, Fpo, AP 96540 | 2015-03-04 |
| 1669602298 | Christopher Avery Bartlett | Military Health Care Provider | Psc 455 Box 152, Fpo, AP 96540-0152 | 2009-07-16 |
| 1215306675 | Bryan Lopez | Military Health Care Provider | Psc 455 Box 182, Medical Department, Navspecwaunit One, Fpo, AP 96540-1182 | 2015-09-16 |
| 1518525583 | William Edward Mcbreen Jr. | Military Health Care Provider | Coastal Riverine Group 1 Detachment Guam, Fpo, AP 96540-1400 | 2019-06-04 |
| 1679672620 | Naval Hospital Guam | Military/U.S. Coast Guard Pharmacy | Bldg 198, Dededo, GU 96540-1816 | 2006-09-22 |
| 1003877879 | Mario John Mannarino | Military Health Care Provider | Msfsc Ship Support Unit, Guam, Psc 455, Box 198, Fpo, AP 96540-2600 | 2006-03-31 |
| Find all providers in zip 96540 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| 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. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578743860 | Christopher George Boyce | Military Health Care Provider | Comsubron 15, Santa Rita, GUAM 96915 | 2007-11-05 |
| 1003009267 | Craig Steven Bosley | Military Health Care Provider | 10 Orote Point Rd, Santa Rita, GU 96915-1130 | 2007-08-21 |
| 1932312097 | Scott David Graham | Military Health Care Provider | Eodmu 5 Unit 25499, 2112 Sumay Cove Drive, Santa Rita, GAUM 96915 | 2007-05-07 |
| 1053380303 | Jason C Spurgers | Military Health Care Provider | 167 Plumeria, Santa Rita, GU 96915 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700855426 | Charles Wynter Mccready IIi | Military Health Care Provider | U.S. Naval Hospital Guam, Bldg 1 Farenholt Ave, Agana Heights, GU 96910 | 2006-03-15 |
| City | SANTA RITA |
| Zip Code | 96540 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.