Provider Demographics
NPI:1992012918
Name:RAMIREZ, SYLVESTRA (DPT)
Entity Type:Individual
Prefix:
First Name:SYLVESTRA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3906 S 27TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53221-1826
Mailing Address - Country:US
Mailing Address - Phone:414-281-3444
Mailing Address - Fax:414-281-3435
Practice Address - Street 1:3906 S 27TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53221-1826
Practice Address - Country:US
Practice Address - Phone:414-281-3444
Practice Address - Fax:414-281-3435
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11574-024225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1992012918Medicaid
WI1992012918Medicaid
WI2382002Medicare PIN
WI801360003Medicare PIN