Emilio Andres Malave-Lazaro, AT
Specialist/Technologist, Athletic Trainer in Guaynabo, PR. Individual provider (NPI-1).
NPI number1124953112
StatusActive
Last updated in NPPESJun 12, 2026
Details
- NPI
- 1124953112
- Entity type
- Individual (NPI-1)
- Name
- Mr. Emilio Andres Malave-Lazaro
- Credential
- AT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 12, 2026
- Certification date
- Jun 12, 2026
- Last updated
- Jun 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | PR | Yes |
Practice location
Po Box 59Guaynabo, PR 00970-0059
Phone 787-689-0504
Mailing address
Po Box 59Guaynabo, PR 00970-0059
Phone 787-689-0504
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