Organization
E C BOUTIQUE CORP
Active
Other names
EYE CENTER BOUTIQUE
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO D SALIB FRAU (PRESIDENT)
(787) 507-5377
Entity
Organization
Contact information
Practice address
1000 THE MALL OF SJ BOULEVARD, SUITE 118 URB VILLA OLIMPIA, SAN JUAN, PR 00924-4043
(787) 507-5377
(787) 731-5642
Mailing address
90 CALLE MEDICI, URB PASEO DEL PARQUE, SAN JUAN, PR 00924-6514
(787) 507-5377
(787) 731-5642
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
261Q00000X
Clinic/Center
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
03/01/2024
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