Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID JAKE MALDONADO, ATC, LAT
Active Sole ProprietorDAVID JAKE MALDONADO, ATC, LAT is a Athletic Trainer healthcare provider located in LOS ALAMOS, New Mexico. NPI 1649669359 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LOS ALAMOS, NM
Registration Details
- NPI Number
- 1649669359
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2015 (11.528537461699 yrs)
- Last Updated
- Apr 8, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
30 VERDE RIDGE ST APT CLOS ALAMOS, NM, 875443243Browse NM providers · Browse ZIP 87544
- Phone
- 5055159816
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.