Ecb Humacao LLC

NPI #1164237269 in Caguas, Puerto Rico

Provider Information

NPI Number: 1164237269
Entity Type: Organization
Organization Name: Ecb Humacao LLC
Primary Specialty: Optometrist
Enumeration Date: Feb 7, 2025
Last Updated: Feb 7, 2025

Practice Location

Address: PLAZA CENTRO MALL AVE RAFAEL CORDERO
Address 2: ESQUINA PR 30 LOCAL#10
City: Caguas
State: Puerto Rico
ZIP Code: 00725
Phone: (787) 801-5896

Authorized Official

Name: GABRIEL SANTOS
Title: PRESIDENT
Phone: (787) 801-5896

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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