# CENTRO RYDER SAN LORENZO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427265636
- **Authorized official:** MRS. NILDA MILIAN (ADMINISTRATOR)
- **Authorized official phone:** (787) 736-8198

## Contact information

- **Practice address:** CALLE LUIS MUNOZ RIVERA FINAL, SAN LORENZO, PR 00754
- **Practice address phone:** (787) 736-8198
- **Mailing address:** CALLE LUIS MUNOZ RIVERA FINAL, SAN LORENZO, PR 00754
- **Mailing address phone:** (787) 736-8198

## Taxonomy

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

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 08/15/2008