IndividualActive
Jose Lopez, IDC
NPI 1922349968 · Independent Duty Corpsman · Pearl Harbor, HI
Provider details
- NPI number
- 1922349968
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
Mdsu-1 Bishop Point
Building 17
Pearl Harbor, HI 96860
Phone: (808) 471-9292
Approximate (ZIP-level) locationGet directions
Mailing address
Mdsu-1 Bishop Point
Pearl Harbor, HI 96860
Registry dates
- Enumerated
- 2013-03-14
- Last updated
- 2013-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.