Provider Demographics
NPI:1851636856
Name:RAMOS, MARIA CECILIA RIVERA (PT)
Entity Type:Individual
Prefix:MRS
First Name:MARIA CECILIA
Middle Name:RIVERA
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 1:8515 57TH AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4835
Mailing Address - Country:US
Mailing Address - Phone:646-704-2979
Mailing Address - Fax:
Practice Address - Street 1:8515 57TH AVE FL 3
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4835
Practice Address - Country:US
Practice Address - Phone:646-704-2979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-02
Last Update Date:2012-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031750225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist