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

Individual provider Independent Duty Corpsman · NPI 1174884340

Wilson Rodriguez, IDC is an Independent Duty Corpsman in Cleveland, Ohio. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012
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Practice location Address checks out

19165 Puritas Ave
Cleveland, OH 44135-1031
Phone: (216) 849-7987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1174884340
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorYes
NPI enumeratedJune 5, 2012
Last updated in NPPESJune 5, 2012

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