Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVAN VICENTE, IDMT
ActiveIVAN VICENTE, IDMT is a Independent Duty Medical Technician healthcare provider located in ELLSWORTH AFB, South Dakota. NPI 1710201553 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · ELLSWORTH AFB, SD
Registration Details
- NPI Number
- 1710201553
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2010 (16.357057232089 yrs)
- Last Updated
- Mar 23, 2010
Practice Information
- Address
-
433 BLACK ELK CTELLSWORTH AFB, SD, 577061847Browse SD providers · Browse ZIP 57706
- Phone
- 6055213502
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
Other Independent Duty Medical Technician Providers in ELLSWORTH AFB, SD
| Name | Credential | NPI |
|---|---|---|
| GINA ANN LAUX | IDMT | 1750524955 |
| MRS. TARA LYNN DOMMERT-HARRISON | IDMT | 1326282138 |
| DIANE RAMIREZ | IDMT | 1104050624 |
| DARIN LEE HOKI | — | 1558611103 |
| MITCHELL HARKLEY | — | 1487012738 |
| MR. MICHAEL JOHN-PAUL TRIANA | IDMT | 1932567286 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.