E C BOUTIQUE CORP NPI 1972800530

NPI Information

  • NPI: 1972800530
  • Provider Name: E C BOUTIQUE CORP
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: EYE CENTER BOUTIQUE
  • Address: 200 AVE FRAGOSO SUITE 108
    PLAZA CAROLINA MALL
    CAROLINA, PR
    ZIP 00983
  • Phone: (787) 768-6666

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NPI Details

E C BOUTIQUE CORP is a clinic center in Carolina, PR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). E C BOUTIQUE CORP NPI is 1972800530. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Eye Center Boutique.

The provider's business location address is:

200 AVE FRAGOSO SUITE 108
PLAZA CAROLINA MALL
CAROLINA, PR
ZIP 00983-104
Phone: (787) 768-6666
Fax: (787) 769-6666

The provider's authorized official is Pedro David Salib .
The authorized official title is President and has the following contact phone number (787) 768-6666.

The enumeration date for this NPI number is 2/17/2011 and was last updated on 10/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist135PUERTO RICONo
2261Q00000XClinic/CenterYes
3332H00000XEyewear SupplierNo

What is NPI?

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This page was last updated on: 11/21/2025

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