Organization
ECB HUMACAO LLC
Active
Other names
ECB FAJARDO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL SANTOS DELGADO DO (OPTOMETRY)
(787) 239-0468
Entity
Organization
Contact information
Practice address
CENTRO COMERCIAL PLAZA FAJARDO LOCAL 125 CARR 3 KM 43.3, BARRIO QUEBRADA ABAJO, FAJARDO, PR 00738
(787) 718-5767
Mailing address
CENTRO COMERCIAL PLAZA FAJARDO LOCAL 125 CARR 3 KM 43.3, BARRIO QUEBRADA ABAJO, FAJARDO, PR 00738
(787) 718-5767
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038044400
—
PR
Enumeration date
08/21/2019
Last updated
01/12/2021
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