Provider Demographics
NPI:1184815938
Name:RYDER MEMORIAL HOSPITAL, INC.
Entity Type:Organization
Organization Name:RYDER MEMORIAL HOSPITAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:RAMON
Authorized Official - Last Name:FELICIANO
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:787-852-0768
Mailing Address - Street 1:PO BOX 859
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00792-0859
Mailing Address - Country:US
Mailing Address - Phone:787-852-2869
Mailing Address - Fax:787-852-0899
Practice Address - Street 1:FONT MARTELLO AVE 355
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00792-0859
Practice Address - Country:US
Practice Address - Phone:787-852-2869
Practice Address - Fax:787-852-0899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0436140001Medicare NSC