Aida Isabel Maldonado

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

7110 N 68TH Dr
Glendale, AZ 85303-2626

Phone

(623) 414-8877

NPI assigned

Jan 30, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1346002789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 N 68TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853032626",
            "telephone_number": "623-414-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 N 68TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853032626",
            "telephone_number": "623-414-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "AIDA",
        "middle_name": "ISABEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tafadzwa P Makarawo, MD
• Samer Makhoul, M.D.
• Manale Maksour
• Noah M Maksumov, PHARMD
• Alexis Malagon
• Kristy Beth Malecki, M.A., CCC-SLP
• Sepideh Malekpour, DDS
• Tannaz Zahra Malekzadeh, DMD
• Devika Malhotra, MD
• Rahul Malhotra, MD

• Athletic Trainer in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.