MEDICARE: MRS. BETHZAIDA MATOS RN

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	163W00000X	Registered Nurse	R225375	MD
2	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1932075637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BETHZAIDA MATOS RN

Provider Business Mailing Address
First Line	:	PSC 480 BOX 1995
Second Line	:
City	:	APO
State	:	AE
Zip	:	09128-0020
Country	:	US
Telephone Number	:	301-259-1307
Fax Number	:

Provider Business Practice Location Address
First Line	:	PSC 480 BOX 1995
Second Line	:
City	:	APO
State	:	AE
Zip	:	09128-0020
Country	:	US
Telephone Number	:	301-259-1307
Fax Number	:

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

Provider Enumeration Date	:	10/11/2025
Last Update Date	:	10/11/2025

Similar Medicare Providers

1538154612 — DR. DUANE CARLTON TUCKER M.D.
Practice Location Address:

PSC 41 , BOX 1952
APO, AE
09464-0020

Practice Phone: 011441473461138
Practice Fax:

1306070842 — LAWRENCE D. GUAJARDO IDMT
Practice Location Address:

PSC 54 BOX 1989
APO, AE
09601-0020

Practice Phone: 13615283881
Practice Fax:

1932478005 — STEPHANIE J FOX
Practice Location Address:

PSC 1 BOX 1965
APO, AE
09009-0020

Practice Phone: 016093071661
Practice Fax:

1205275138 — BAVARIA MEDDAC
Practice Location Address:

CMR 459 BOX 19908
APO, AE
09139-0020

Practice Phone: 314-469-1750
Practice Fax:

1104556034 — NARA SHIN
Practice Location Address:

PSC 444
APO, AP
96297-0020

Practice Phone: 817-301-8910
Practice Fax:

1336944107 — MELISSA LYNN HAUSBACH MS, RDN
Practice Location Address:

PSC 37 BOX 1912
APO, AE
09459-0020

Practice Phone: --
Practice Fax:

Directions to “ MRS. BETHZAIDA MATOS RN” 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.