IndividualActive
Michael Rodriguez, SUBMARINE IDC
NPI 1275860603 · Independent Duty Corpsman · Pearl Harbor, HI
Provider details
- NPI number
- 1275860603
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SUBMARINE IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
822 Clark St.
Nssc Medical Suite 400
Pearl Harbor, HI 96860
Phone: (808) 473-3771
Fax: (808) 473-3109
Approximate (ZIP-level) locationGet directions
Mailing address
Uss Key West #ssn722
Fpo, AP 96683-2402
Registry dates
- Enumerated
- 2009-11-05
- Last updated
- 2009-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.