Practitioner Profile Portal

This data was extracted on 3/13/2026.

Profile

License Number: A0000963 Carlos Negron III
License Type: Athletic Trainer
License Status: Active
License Issued: 07/06/2017 License Expiration: 09/30/2027

Licensure Pathway: Traditional
Special License Category: N/A

Primary Practice Setting

N/A

Public Address

12793 Folly Quarter Rd
Ellicott City, NJ 21042

Education

N/A

Medical Assistance

Accept Medicaid? N/A

Medical Licenses Held in Other States (as reported by licensee)

Licensee has not reported Medical Licenses Held in Other States information for the profile site.

Active Supervisee - Evaluation and Treatment Protocols for Athletic Trainers

D0070821 Ralph Frank Henn III Status: Approved | Approved Date: 03/27/2019 | Agreement No: 1601

Download all Maryland Disciplinary Actions (not time-limited)

All Orders are downloaded in .pdf format.

Order#: 07132020 dated 07/13/2020
Order#: 06302020 dated 06/30/2020

Summary of Known Disciplinary Actions by any state medical board

In Maryland:

Date of Action: 07/13/2020	State: MD
Summary: Fine of $500 Satisfied. The practitioner has paid the fine imposed under the Consent Order, dated June 30, 2020. The reprimand remains in effect.
Date of Action: 06/30/2020	State: MD
Summary: Reprimand. Civil fine of $500.00; payable within six months. The practitioner practiced as an athletic trainer without an approved Evaluation and Treatment Protocol, is guilty of unprofessional conduct in the practice of athletic training, and failed to practice under the supervision of a physician.