Provider Demographics
NPI:1720179906
Name:RAMIREZ, ALEJANDRO (PT)
Entity Type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 CORNERSTONE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-8479
Mailing Address - Country:US
Mailing Address - Phone:956-668-1777
Mailing Address - Fax:956-668-1778
Practice Address - Street 1:2625 CORNERSTONE BLVD STE A
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-8479
Practice Address - Country:US
Practice Address - Phone:956-668-1777
Practice Address - Fax:956-668-1778
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1134773225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8D9225Medicare ID - Type Unspecified