Healthcare Provider Details

I. General information

NPI: 1932875333
Provider Name (Legal Business Name): BUENOS DIAS DON RUBEN L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2021
Last Update Date: 07/31/2024
Certification Date: 07/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE 36 GG 56 JARDINES DEL CARIBE
PONCE PR
00728-2612
US

IV. Provider business mailing address

GG56 CALLE 36 JARDINES DEL CARIBE
PONCE PR
00728-2612
US

V. Phone/Fax

Practice location:
  • Phone: 939-500-0043
  • Fax:
Mailing address:
  • Phone: 939-500-0043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS YAIRA LARACUENTE
Title or Position: DIRECTOR
Credential:
Phone: 939-500-0043