Ecb Humacao LLC

NPI #1578170932 in Humacao, Puerto Rico

Provider Information

NPI Number: 1578170932
Entity Type: Organization
Organization Name: Ecb Humacao LLC
Primary Specialty: Optometrist
Enumeration Date: Sep 29, 2020
Last Updated: Sep 29, 2020

Practice Location

Address: PALMA REAL SHOPPING CENTER
Address 2: LOCAL 2
City: Humacao
State: Puerto Rico
ZIP Code: 00791
Phone: (787) 850-5222

Authorized Official

Name: GABRIEL SANTOS DELGADO
Title: DELEGADO OFICIAL
Phone: (787) 239-0468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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