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) 780-4444
Entity
Organization
Contact information
Practice address
501 AVE WEST MAIN SUITE 1215, PLAZA DEL SOL, BAYAMON, PR 00961-3867
(787) 780-4444
(787) 780-4444
Mailing address
90 PARQUE MEDICI, URB PASEO DEL PARQUE, SAN JUAN, PR 00926-6514
(787) 780-4444
(787) 780-4444
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
135
PR
261Q00000X
Clinic/Center
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/15/2011
Last updated
02/29/2024
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