Healthcare Provider Details

I. General information

NPI: 1477551802
Provider Name (Legal Business Name): RYO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2005
Last Update Date: 01/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 CALLE DE DIEGO
SAN JUAN PR
00923-3012
US

IV. Provider business mailing address

PO BOX 193429
SAN JUAN PR
00919-3429
US

V. Phone/Fax

Practice location:
  • Phone: 787-767-1216
  • Fax: 787-767-1216
Mailing address:
  • Phone: 787-767-1216
  • Fax: 787-767-1216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number206
License Number StatePR

VIII. Authorized Official

Name: MRS. OLGA I TORRES
Title or Position: PRESIDENT
Credential: MT
Phone: 787-767-1216