Organization · NPI-2

E C Boutique Corp

Clinic/Center · Carolina, PR

NPI number1972800530
StatusActive
Last updated in NPPESOct 28, 2024

Details

NPI
1972800530
Entity type
Organization (NPI-2)
Legal business name
E C Boutique Corp
Organization subpart
No
Enumeration date
Feb 17, 2011
Certification date
Oct 23, 2024
Last updated
Oct 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes
152W00000X Optometrist135PR
332H00000X Eyewear Supplier (Equipment, not the service)––

Other names

  • Eye Center Boutique (Doing Business As)

Practice location

200 Ave Fragoso Suite 108
Plaza Carolina Mall
Carolina, PR 00983-3104

Phone 787-768-6666 · Fax 787-769-6666

Mailing address

90 Parque Medici
Urb Paseo Del Parque
San Juan, PR 00926-6514

Phone 787-768-6666 · Fax 787-769-6666

Other practice locations

501 Ave West Main Suite 1215
Plaza Del Sol
Bayamon, PR 00961-3867

Phone 787-780-4444 · Fax 787-780-4444

1000 The Mall Of San Juan Bulevard
Suite 118 Urb Villa Olimpia
San Juan, PR 00924-6514

Phone 787-507-5377 · Fax 787-731-5642

Authorized official

Pedro David Salib
President
7877686666

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