NPIMap

Organization Active NPI

Ryder Memorial Hospital, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Humacao, PR
National Provider Identifier
1184815938
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RYDER MEMORIAL HOSPITAL, INC.
Practice address
Font Martello Ave 355
Humacao, PR 00792-0859
Phone
(787) 852-2869
Fax
(787) 852-0899
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Authorized official

Name
Mr. Jose Ramon Feliciano, MHSA
Title
Executive Director
Phone
(787) 852-0768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

Font Martello Ave 355
Humacao, PR 00792-0859

Mailing address

PO Box 859
Humacao, PR 00792-0859
Phone (787) 852-2869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930013896 PR DME Supplier - HospitalDME Supplier - Oxygen & EquipmentDME Supplier - PharmacyDME Supplier - Medical Supply CompanyDME Supplier - Home Health Agency 2264499011 Practice locations: Humacao, PR

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

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

Other organizations with this tax ID 11

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

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ryder Skill Nursing FacilityHumacao, PR, CCN 405018 Skilled nursing facility Operational/Managerial Control
Trustee of the SNF
Adp of the SNF		 Jan 13, 1988
Jan 13, 1988
Jan 13, 1988
Ryder Homecare ProgramHumacao, PR, CCN 407005 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 15, 1974
Apr 15, 1974
Ryder Memorial Hospice ProgramHumacao, PR, CCN 401543 Hospice 5% Or Greater Direct Ownership Interest (100%) Jul 28, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1184815938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 859",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007920859",
            "telephone_number": "787-852-2869",
            "fax_number": "787-852-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FONT MARTELLO AVE 355",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007920859",
            "telephone_number": "787-852-2869",
            "fax_number": "787-852-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYDER MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "FELICIANO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "RAMON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-852-0768",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.