Provider Demographics
NPI:1700971322
Name:RAMIREZ, ROLANDO (MPT, MAT, ATC, CSCS)
Entity type:Individual
Prefix:MR
First Name:ROLANDO
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MPT, MAT, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2918 POPLAR ISLE
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6151
Mailing Address - Country:US
Mailing Address - Phone:281-995-6861
Mailing Address - Fax:
Practice Address - Street 1:2 RELIANT PARK
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1573
Practice Address - Country:US
Practice Address - Phone:832-667-2216
Practice Address - Fax:832-667-2185
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2013-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN72872251S0007X
TN9472255A2300X
TX11562862251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer