Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. IVAN HENRIQUEZ, ATC
ActiveMR. IVAN HENRIQUEZ, ATC is a Athletic Trainer healthcare provider located in SECAUCUS, New Jersey. NPI 1851001911 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SECAUCUS, NJ
Registration Details
- NPI Number
- 1851001911
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 30, 2022 (3.6888728632091 yrs)
- Last Updated
- Dec 1, 2022
- License
-
2000052661 (NJ)
Practice Information
- Address
-
55 MEADOWLANDS PKWYSECAUCUS, NJ, 070942977Browse NJ providers · Browse ZIP 07094
- Phone
- 2013923424
- Fax
- 2013923056
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SECAUCUS, NJ
| Name | Credential | NPI |
|---|---|---|
| MR. THOMAS JOHN BUTLER | ATC | 1043645427 |
| ERIC HERNANDEZ | AT STUDENT | 1750971479 |
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.