Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ROBERTO CARRILLO RUIZ, LAT
Active Sole ProprietorMR. ROBERTO CARRILLO RUIZ, LAT is a Athletic Trainer healthcare provider located in GOODYEAR, Arizona. NPI 1053723494 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GOODYEAR, AZ
Registration Details
- NPI Number
- 1053723494
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2014 (12.195246149543 yrs)
- Last Updated
- May 20, 2014
- Licenses
-
1012 (AZ)AT.003568 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4200 N PEBBLE CREEK PKWY APT 2090GOODYEAR, AZ, 853959032Browse AZ providers · Browse ZIP 85395
- Phone
- 2169737794
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in GOODYEAR, AZ
| Name | Credential | NPI |
|---|---|---|
| MRS. LESLIE KARA GEORGE | ATC, MS | 1861614422 |
| JD BURGESS | — | 1326607474 |
| TREVOR RIFFEY | ATC | 1508499922 |
| ALYSSA LYNDEN PETERSON | — | 1578228524 |
| YUKA OGATA | ATC/L | 1265295752 |
| ISABEL ARMENTA PORTILLO | — | 1902633399 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.