Organization · NPI-2

Ecb Humacao LLC

Optometrist · Caguas, PR

NPI number1164237269
StatusActive
Last updated in NPPESJun 30, 2026

Details

NPI
1164237269
Entity type
Organization (NPI-2)
Legal business name
Ecb Humacao LLC
Organization subpart
No
Enumeration date
Feb 7, 2025
Certification date
Jun 30, 2026
Last updated
Jun 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes

Practice location

Plaza Centro Mall Ave Rafael Cordero
Esquina Pr 30 Local#10
Caguas, PR 00725

Phone 787-801-5896

Mailing address

Plaza Fajardo
Carr 3 Suite 125
Fajardo, PR 00738

Authorized official

Gabriel Santos
President
7878015896

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