# E C BOUTIQUE CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** EYE CENTER BOUTIQUE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972800530
- **Authorized official:** PEDRO DAVID SALIB (PRESIDENT)
- **Authorized official phone:** (787) 768-6666

## Contact information

- **Practice address:** 200 AVE FRAGOSO SUITE 108, PLAZA CAROLINA MALL, CAROLINA, PR 00983-3104
- **Practice address phone:** (787) 768-6666
- **Practice address fax:** (787) 769-6666
- **Mailing address:** 90 PARQUE MEDICI, URB PASEO DEL PARQUE, SAN JUAN, PR 00926-6514
- **Mailing address phone:** (787) 768-6666
- **Mailing address fax:** (787) 769-6666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 135 | PR | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 332H00000X | Eyewear Supplier | — | NULL | — |

## Other

- **Enumeration date:** 02/17/2011
- **Last updated:** 10/28/2024