Provider Demographics
NPI:1518767706
Name:RAMIREZ, GERARDO (PTA)
Entity type:Individual
Prefix:
First Name:GERARDO
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2721 SW 137TH AVE STE 117
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6319
Mailing Address - Country:US
Mailing Address - Phone:786-536-7317
Mailing Address - Fax:
Practice Address - Street 1:2721 SW 137TH AVE STE 117
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6319
Practice Address - Country:US
Practice Address - Phone:786-536-7317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant