Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miguel Maximilian Gonzalez, MS, ATC, LAT

Individual provider Athletic Trainer · NPI 1841982758

Miguel Maximilian Gonzalez, MS, ATC, LAT is an Athletic Trainer in Waltham, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2023.

Licensed in
MA
In the registry since
2023
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

9 Hope Ave
Waltham, MA 02453-2741
Phone: (781) 216-3715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence ATL2471 (MA)

Record details

NPI number1841982758
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC , LAT
Sole proprietorNo
NPI enumeratedMay 22, 2023
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023

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