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

Mr. Jaime Ricardo Maldonado, PTA

Individual provider Physical Therapy Assistant · NPI 1720590698

Mr. Jaime Ricardo Maldonado, PTA is a Physical Therapy Assistant in Gallup, New Mexico. Licensed in New Mexico. Registered with an NPI since 2017.

Licensed in
NM
In the registry since
2017
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

204 E Logan Ave
Gallup, NM 87301-6134
Phone: (505) 728-5060
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A-305 (NM)

Record details

NPI number1720590698
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 31, 2017
Last updated in NPPESOctober 31, 2017

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