NPIMap

Organization Active NPI

Centro Ryder San Lorenzo Vacunacion

  • Clinic/Center
  • San Lorenzo, PR
National Provider Identifier
1154858561
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
78 Issued in PR
Legal business name
CENTRO RYDER SAN LORENZO VACUNACION
Practice address
Carr 181 KM 1 H 0
Calle Munoz Rivera Final
San Lorenzo, PR 00754
Phone
(787) 852-0882
Fax
(787) 852-0157
NPI assigned
May 16, 2017
Organization subpart
Yes
Parent organization
CENTRO RYDER SAN LORENZOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jose R Feliciano
Title
Excutive Director
Phone
(787) 852-0882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 78 PR Primary

Addresses

Primary practice location

Carr 181 KM 1 H 0
Calle Munoz Rivera Final
San Lorenzo, PR 00754

Mailing address

Munoz Rivera Final
San Lorenzo, PR 00754
Phone (787) 852-0882

National Provider Directory

National Provider Directory
Tax ID family
Ryder Skilled Nursing Fac12 organizations share this tax ID, including this one
Part of
Ryder Skilled Nursing Fac

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494892800000",
    "number": "1154858561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MUNOZ RIVERA FINAL",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-852-0882",
            "fax_number": "787-852-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 181 KM 1 H 0",
            "address_2": "CALLE MUNOZ RIVERA FINAL",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-852-0882",
            "fax_number": "787-852-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO RYDER SAN LORENZO VACUNACION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRO RYDER SAN LORENZO",
        "enumeration_date": "2017-05-16",
        "last_updated": "2017-05-16",
        "status": "A",
        "authorized_official_last_name": "FELICIANO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXCUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-852-0882",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "78",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Lorenzo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.