Provider Demographics
NPI:1134916935
Name:CASTRO, TANAITA N (INTERPRETER)
Entity type:Individual
Prefix:
First Name:TANAITA
Middle Name:N
Last Name:CASTRO
Suffix:
Gender:
Credentials:INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 7TH ST
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-3211
Mailing Address - Country:US
Mailing Address - Phone:720-380-4478
Mailing Address - Fax:
Practice Address - Street 1:1307 7TH ST
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-3211
Practice Address - Country:US
Practice Address - Phone:720-380-4478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter