Healthcare Provider Details

I. General information

NPI: 1447270319
Provider Name (Legal Business Name): RYDER MEMORIAL HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 02/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 AVE. FONT MARTELO
HUMACAO PR
00791
US

IV. Provider business mailing address

PO BOX 859
HUMACAO PR
00792-0859
US

V. Phone/Fax

Practice location:
  • Phone: 787-852-0768
  • Fax: 787-852-0157
Mailing address:
  • Phone: 787-852-0768
  • Fax: 787-852-0157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number97265
License Number StatePR

VIII. Authorized Official

Name: MR. JORGE BERRIOS
Title or Position: DIRECTOR OF BILLING & COLLECTIONS
Credential:
Phone: 787-852-0768