Provider Demographics
NPI:1669406039
Name:RAMIREZ, ROSMIRA ESTHER (PT-CWS)
Entity type:Individual
Prefix:MRS
First Name:ROSMIRA
Middle Name:ESTHER
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:PT-CWS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1519 FENTON DR
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-3555
Mailing Address - Country:US
Mailing Address - Phone:561-703-5115
Mailing Address - Fax:561-665-5021
Practice Address - Street 1:1519 FENTON DR
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-3555
Practice Address - Country:US
Practice Address - Phone:561-703-5115
Practice Address - Fax:561-665-5021
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCFO02996225000000X
FLPT11547225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7187Medicare UPIN