Healthcare Provider Details

I. General information

NPI: 1740223759
Provider Name (Legal Business Name): DD HOME CARE SAN FRANCISCO DE ASIS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 01/01/2026
Certification Date: 01/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 CALLE RAFOLS
QUEBRADILLAS PR
00678-1853
US

IV. Provider business mailing address

PO BOX 1538
QUEBRADILLAS PR
00678-1538
US

V. Phone/Fax

Practice location:
  • Phone: 787-819-4684
  • Fax: 787-895-1882
Mailing address:
  • Phone: 787-819-4684
  • Fax: 787-895-1882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number49
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: DR. CONFESOR LASALLE RUIZ
Title or Position: OWNER
Credential:
Phone: 787-819-4684