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

Mr. Roberto Carrillo Ruiz, LAT

Individual provider Athletic Trainer · NPI 1053723494

Mr. Roberto Carrillo Ruiz, LAT is an Athletic Trainer in Goodyear, Arizona. Practices as a sole proprietor. Licensed in Arizona and Ohio.

Licensed in
AZ, OH
In the registry since
2014
Specialties on file
2
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

4200 N Pebble Creek Pkwy Apt 2090
Goodyear, AZ 85395-9032
Phone: (216) 973-7794
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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 AT.003568 (OH)
Athletic Trainer Taxonomy 2255A2300X · Licence 1012 (AZ)

Record details

NPI number1053723494
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT
Sole proprietorYes
NPI enumeratedMay 20, 2014
Last updated in NPPESMay 20, 2014

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