IndividualActive
David Maldonado, ATC, LAT
NPI 1649669359 · Athletic Trainer · Los Alamos, NM
Provider details
- NPI number
- 1649669359
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT
- Sex
- Male
- Sole proprietor
- Yes
Practice location
30 Verde Ridge St Apt C
Los Alamos, NM 87544-3243
Phone: (505) 515-9816
Mailing address
30 Verde Ridge St Apt C
Los Alamos, NM 87544-3243
Registry dates
- Enumerated
- 2015-01-19
- Last updated
- 2016-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.