Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jasper Lelis Santillan Jr., IDC

Individual provider Independent Duty Corpsman · NPI 1265145536

Mr. Jasper Lelis Santillan Jr., IDC is an Independent Duty Corpsman in Groton, Connecticut. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

117 Deerwood Dr
Groton, CT 06340-2546
Phone: (760) 500-7763
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1265145536
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedJanuary 3, 2023
Last updated in NPPESJanuary 3, 2023
Certification dateJanuary 3, 2023

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