Dr Ivette M. Ramos Silva, MD

If I could give NEGATIVE stars, I would. This is a doctor that does NOT listen to you EVER. She prescribes medications and dosages based on her comfort level, not what you have been previously receiving over years and years from Specialists in their field (even with those past medical records as reference). Her reasoning is: "I do not feel comfortable with that." Or she changes dosages in the middle of refill cycles because again, she "does not feel comfortable with that." You receive calls from other specialists to set up appointments based on her referral that she did not discuss with her. But she lets you know or gives "comfort level" responses within the Portal, which is after the fact. The only way you know that those dosages have changed is when you pick them up at the pharmacy or you receive them via mail order (which is too late). If you are super clear within an office visit that you want to use Mail Order for recurring prescriptions, she still does NOT follow your request. If… you remind her and her staff of that, they still do NOT correct their error. The cost savings using mail order is significant and it is like she DOESN'T CARE. But if you go into the office, she is just so much "more understanding," and then changes her mind when sending in prescriptions to the pharmacy. If you question her in the Portal and express concerns that you are not comfortable with her and her decisions that she makes outside of the office, she sends a FedEx overnight letter firing you as a patient (which is after you have already established with another physician). Such an inconsiderate, unprofessional, inexperienced physician whom decides patient care without considering the patient and their past experiences. I CANNOT recommend her at all, which is sad because I want to raise up female practitioners.

If I could give NEGATIVE stars, I would. This is a doctor that does NOT listen to you EVER. She prescribes medications and dosages based on her comfort level, not what you have been previously receiving over years and years from Specialists in their field (even with those past medical records as reference). Her reasoning is: "I do not feel comfortable with that." Or she changes dosages in the middle of refill cycles because again, she "does not feel comfortable with that." You receive calls from other specialists to set up appointments based on her referral that she did not discuss with her. But she lets you know or gives "comfort level" responses within the Portal, which is after the fact. The only way you know that those dosages have changed is when you pick them up at the pharmacy or you receive them via mail order (which is too late). If you are super clear within an office visit that you want to use Mail Order for recurring prescriptions, she still does NOT follow your request. If… you remind her and her staff of that, they still do NOT correct their error. The cost savings using mail order is significant and it is like she DOESN'T CARE. But if you go into the office, she is just so much "more understanding," and then changes her mind when sending in prescriptions to the pharmacy. If you question her in the Portal and express concerns that you are not comfortable with her and her decisions that she makes outside of the office, she sends a FedEx overnight letter firing you as a patient (which is after you have already established with another physician). Such an inconsiderate, unprofessional, inexperienced physician whom decides patient care without considering the patient and their past experiences. I CANNOT recommend her at all, which is sad because I want to raise up female practitioners.