Organization
RYDER MEMORIAL HOSPITAL INC
Active
Other names
FARMACIA RYDER MEML HOSP
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE SEPULVEDA (CEO)
(787) 852-0768
Entity
Organization
Contact information
Practice address
355 AVE FONT MARTELO, BOX 859, HUMACAO, PR 00791-3249
(787) 852-0768
(787) 850-1444
Mailing address
PO BOX 859, HUMACAO, PR 00792-0859
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
07F0947
PR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2082984
PK
—
Enumeration date
08/18/2006
Last updated
11/12/2014
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