Centro Ryder San Lorenzo Vacunacion

NPI #1154858561 in San Lorenzo, Puerto Rico

Provider Information

NPI Number: 1154858561
Entity Type: Organization
Organization Name: Centro Ryder San Lorenzo Vacunacion
Subpart: Yes (part of a larger organization)
Parent Organization: CENTRO RYDER SAN LORENZO
Primary Specialty: Clinic/Center
Enumeration Date: May 16, 2017
Last Updated: May 16, 2017

Practice Location

Address: CARR 181 KM 1 H 0
Address 2: CALLE MUNOZ RIVERA FINAL
City: San Lorenzo
State: Puerto Rico
ZIP Code: 00754
Phone: (787) 852-0882

Authorized Official

Name: MR. JOSE R FELICIANO
Title: EXCUTIVE DIRECTOR
Phone: (787) 852-0882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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