Organization
E C BOUTIQUE CORP
Active
Other names
EYE CENTER BOUTIQUE
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO DAVID SALIB (PRESIDENT)
(787) 768-6666
Entity
Organization
Contact information
Practice address
200 AVE FRAGOSO SUITE 108, PLAZA CAROLINA MALL, CAROLINA, PR 00983-3104
(787) 768-6666
(787) 769-6666
Mailing address
90 PARQUE MEDICI, URB PASEO DEL PARQUE, SAN JUAN, PR 00926-6514
(787) 768-6666
(787) 769-6666
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
135
PR
261Q00000X
Clinic/Center
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
02/17/2011
Last updated
10/28/2024
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