Ecb Humacao LLC

NPI #1841847142 in Fajardo, Puerto Rico

Provider Information

NPI Number: 1841847142
Entity Type: Organization
Organization Name: Ecb Humacao LLC
Primary Specialty: Optometrist
Enumeration Date: Aug 21, 2019
Last Updated: Jan 12, 2021

Practice Location

Address: CENTRO COMERCIAL PLAZA FAJARDO LOCAL 125 CARR 3 KM 43.3
Address 2: BARRIO QUEBRADA ABAJO
City: Fajardo
State: Puerto Rico
ZIP Code: 00738
Phone: (787) 718-5767

Authorized Official

Name: DR. GABRIEL SANTOS DELGADO, DO
Title: OPTOMETRY
Phone: (787) 239-0468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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