Provider Demographics
NPI:1194851907
Name:RAMOS, DONNA MARCEL (PT)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:MARCEL
Last Name:RAMOS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5501 LAKEVIEW MEWS TER
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-1511
Mailing Address - Country:US
Mailing Address - Phone:754-234-5624
Mailing Address - Fax:561-828-3199
Practice Address - Street 1:5501 LAKEVIEW MEWS TER
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-1511
Practice Address - Country:US
Practice Address - Phone:754-234-5624
Practice Address - Fax:561-828-3199
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16228225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000905100Medicaid
FL000905100Medicaid