Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAIME RICARDO MALDONADO, PTA
ActiveMR. JAIME RICARDO MALDONADO, PTA is a Occupational Therapist healthcare provider located in GALLUP, New Mexico. NPI 1720590698 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · GALLUP, NM
Registration Details
- NPI Number
- 1720590698
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2017 (8.7820129585853 yrs)
- Last Updated
- Oct 31, 2017
- License
-
A-305 (NM)
Practice Information
- Address
-
204 E LOGAN AVEGALLUP, NM, 873016134Browse NM providers · Browse ZIP 87301
- Phone
- 5057285060
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in GALLUP, NM
| Name | Credential | NPI |
|---|---|---|
| MRS. ASHLEY DAWN WATCHMAN | PTA | 1598734543 |
| JANELLE MONTOYA | — | 1184000291 |
| ZAYPEE KOHLENE PASCUAL LAYUGAN | — | 1063288637 |
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.