MEDICARE: MR. ROLANDO RAMIREZ MPT, MAT, ATC, CSCS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251S0007X	Sports Physical Therapist	7287	TN
2	2255A2300X	Athletic Trainer	947	TN
3	2251S0007X	Sports Physical Therapist	1156286	TX

General Provider Information

NPI Number	:	1700971322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROLANDO RAMIREZ MPT, MAT, ATC, CSCS

Provider Business Mailing Address
First Line	:	2918 POPLAR ISLE
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-6151
Country	:	US
Telephone Number	:	281-995-6861
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 RELIANT PARK
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1573
Country	:	US
Telephone Number	:	832-667-2216
Fax Number	:	832-667-2185

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	02/10/2013

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