Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENITO MANGROBANG CALIBOSO JR., IDMT
ActiveBENITO MANGROBANG CALIBOSO JR., IDMT is a Independent Duty Medical Technician healthcare provider located in VALLEJO, California. NPI 1902120736 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · VALLEJO, CA
Registration Details
- NPI Number
- 1902120736
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2010 (16.353716408132 yrs)
- Last Updated
- Apr 19, 2011
Practice Information
- Address
-
330 SAN MARINO AVEVALLEJO, CA, 945892656Browse CA providers · Browse ZIP 94589
- Phone
- 7075576210
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
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.