# RYDER MEMORIAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FARMACIA RYDER MEML HOSP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770697757
- **Authorized official:** JOSE SEPULVEDA (CEO)
- **Authorized official phone:** (787) 852-0768

## Contact information

- **Practice address:** 355 AVE FONT MARTELO, BOX 859, HUMACAO, PR 00791-3249
- **Practice address phone:** (787) 852-0768
- **Practice address fax:** (787) 850-1444
- **Mailing address:** PO BOX 859, HUMACAO, PR 00792-0859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 07F0947 | PR | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 11/12/2014