IndividualActive
Ezequiel Palomares, ATC
NPI 1407439417 · Athletic Trainer · Las Cruces, NM
Provider details
- NPI number
- 1407439417
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- AT8170 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2404 S Locust St Ste 5
Las Cruces, NM 88001-5789
Phone: (575) 521-4188
Approximate (ZIP-level) locationGet directions
Mailing address
219 Merida Dr
Anthony, NM 88021-8226
Registry dates
- Enumerated
- 2021-04-29
- Last updated
- 2021-04-29
- Certified
- 2021-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.