Ecb Humacao

NPI #1104604768 in Fajardo, Puerto Rico

Provider Information

NPI Number: 1104604768
Entity Type: Organization
Organization Name: Ecb Humacao
Subpart: Yes (part of a larger organization)
Parent Organization: ECB HUMACAO
Primary Specialty: Optometrist
Enumeration Date: Sep 15, 2023
Last Updated: Dec 17, 2025

Practice Location

Address: PLAZA FAJARDO
Address 2: CARR 3 KM 43.3 SUITE 125
City: Fajardo
State: Puerto Rico
ZIP Code: 00738
Phone: (787) 558-5501

Authorized Official

Name: DR. GABRIEL SANTOS
Title: PRESIDENT
Phone: (787) 558-5501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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