MEDICARE: TONYA ROSETTA CASTELLANOS IDMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1710I1003X	Independent Duty Medical Technicians

General Provider Information

NPI Number	:	1154564375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONYA ROSETTA CASTELLANOS IDMT

Provider Business Mailing Address
First Line	:	104 MAPLE ST
Second Line	:
City	:	ELLSWORTH AFB
State	:	SD
Zip	:	57706-7700
Country	:	US
Telephone Number	:	508-250-6336
Fax Number	:

Provider Business Practice Location Address
First Line	:	PSC 41
Second Line	:	UNIT 5210 230
City	:	APO
State	:	AE
Zip	:	09464-9998
Country	:	US
Telephone Number	:	01638528148
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2009
Last Update Date	:	10/17/2012

Similar Medicare Providers

1013904465 — MRS. JENNIFER ANN TAY M.C.D.
Practice Location Address:

PCS 41 BOX 482
APO, AA
09464-9998

Practice Phone: 163-853-3308
Practice Fax:

1730323767 — MR. CHRISTOPHER M DWYER IDMT
Practice Location Address:

PSC 41 , BOX 4315
APO, AE
09464-9998

Practice Phone: 011441638524226
Practice Fax:

1568697571 — MICHELLE ELIZABETH ANDRUS WILLS IDMT
Practice Location Address:

PSC 41 , BOX 6004
APO, AE
09464-9998

Practice Phone: 07775296198
Practice Fax:

1639320765 — DR. JOHN DAVID TEEPE D.D.S
Practice Location Address:

PSC 41 BOX 1575
APO, AE
09464-0016

Practice Phone: 402-630-2170
Practice Fax:

1649264789 — MRS. ELIZABETH M. WATSON RD
Practice Location Address:

PSC 41 BOX 5784
APO, AE
09464

Practice Phone: 01638528519
Practice Fax:

1043204720 — DR. LOUIS MARTINEZ
Practice Location Address:

UNIT 5210 BOX 230
APO, AE
09464-8730

Practice Phone: 163-852-9213
Practice Fax:

Directions to “ TONYA ROSETTA CASTELLANOS IDMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.