Healthcare Provider Details

I. General information

NPI: 1669406039
Provider Name (Legal Business Name): ROSMIRA ESTHER RAMIREZ PT-CWS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 11/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1519 FENTON DR
DELRAY BEACH FL
33445-3555
US

IV. Provider business mailing address

1519 FENTON DR
DELRAY BEACH FL
33445-3555
US

V. Phone/Fax

Practice location:
  • Phone: 561-703-5115
  • Fax: 561-665-5021
Mailing address:
  • Phone: 561-703-5115
  • Fax: 561-665-5021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License NumberCFO02996
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT11547
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: