# CENTRO RYDER SAN LORENZO VACUNACION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRO RYDER SAN LORENZO
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154858561
- **Legal business name:** CENTRO RYDER SAN LORENZO
- **Authorized official:** MR. JOSE R FELICIANO (EXCUTIVE DIRECTOR)
- **Authorized official phone:** (787) 852-0882

## Contact information

- **Practice address:** CARR 181 KM 1 H 0, CALLE MUNOZ RIVERA FINAL, SAN LORENZO, PR 00754
- **Practice address phone:** (787) 852-0882
- **Practice address fax:** (787) 852-0157
- **Mailing address:** MUNOZ RIVERA FINAL, SAN LORENZO, PR 00754
- **Mailing address phone:** (787) 852-0882
- **Mailing address fax:** (787) 852-0157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 78 | PR | Yes |

## Other

- **Enumeration date:** 05/16/2017
- **Last updated:** 05/16/2017