E. C. BOUTIQUE CORP. (NPI# 1972800530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972800530 |
| Entity Type | Organization |
| Organization Name | E. C. BOUTIQUE CORP. |
| Practice Address |
Local 108 Ave. Fragoso Plaza Carolina Mall Primer Nivel Carolina PR 00988-9000 |
| Mailing Address |
300 Buzon 680 Flores De Montehiedra San Juan PR 00926-7004 |
| Practice Telephone | 7877686666 |
| Practice Fax Number | 7877686666 |
| Mailing Telephone | 7877686666 |
| Mailing Fax Number | 7877686666 |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-04-12 |
| Authorized Official Name | DR. PEDRO DAVID SALIB (PRESIDENT) |
| Authorized Official Telephone | 7877686666 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 135 | PR | Eye and Vision Services Providers |
| Street Address |
LOCAL 108 AVE. FRAGOSO PLAZA CAROLINA MALL PRIMER NIVEL |
| City | CAROLINA |
| State | PR |
| Zip Code | 00988-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528553856 | Alejandro Trujillo Sr. | Independent Medical Examiner | Calle Molinillo 00988, Carolina, PR 00988 | 2018-06-28 |
| 1194228072 | The Dental Solutions Group LLC | Dentist | Ave Fernandez Juncos Esq Molinillo, Piso 4, Carolina, PR 00988 | 2018-03-16 |
| 1891080651 | Miguel A Fontan | Pharmacist | Jesus Fragoso Ave &65 Th Inf. Ave, Carolina, PR 00988 | 2011-06-09 |
| 1316145105 | Vanessa Maria Villafane | Counselor | Calle 24 Bloque 49 Numero 44 Villa Carolina, Carolina, PR 00988 | 2007-07-03 |
| 1720298466 | Alice Geanny Perez | Psychologist | Avenida Sanchez Osorio 5h4, Villa Fontana Park, Carolina, PR 00988 | 2007-05-23 |
| 1689887937 | Jaime Cruz | General Practice | Cfse Carolina, Carolina, PR 00988 | 2007-05-07 |
| 1891859526 | Pmc Marketing Corp | Pharmacy | Centro Comercial Los Colobos II, Carr 3 Km 14, Carolina, PR 00988 | 2006-12-20 |
| 1083797583 | Paul Velazquez | Optometrist | Local #203, Carolina, PR 00988 | 2006-10-20 |
| 1417050816 | Isabel Garcia | Dentist | Suite 09, Plaza Carolina, Carolina, PR 00988 | 2006-09-07 |
| 1548209042 | Juana Elizabeth Echeverria | Optometrist | Jesus Fragoso Avenue Hwy # 3 Loiza, Carolina, PR 00988 | 2006-06-06 |
| Find all providers in zip 00988 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881224673 | Deo Pr Retail 1 LLC | Optometrist | Plaza Carolina, Carolina, PR 00983-0098 | 2020-01-21 |
| 1669946851 | Insight Optical | Optometrist | Jesus Fragosa Ave Exp O Loiza, Carolina, PR 00961-4462 | 2019-01-22 |
| 1841666971 | Ojos De Puerto Rico, Inc Csp | Optometrist | 620 Calle Monaco, Ext. El Comamdante, Carolina, PR 00982-3634 | 2015-08-12 |
| 1770908352 | Linnette Marie De Jesus | Optometrist | 506 Blvd Media Luna Apt 602, Carolina, PR 00987-4988 | 2014-02-19 |
| 1982995783 | Santa Lucia Optica Inc | Optometrist | Av Campo Rivo Urb Country Club, Gp13, Carolina, PR 00985 | 2011-04-27 |
| 1689973778 | Eye Center Boutique | Optometrist | Ave. Fragoso, Plaza Carolina Mall, Local 108, Carolina, PR 00985 | 2011-03-15 |
| 1487957585 | Eye Care Holding of Pr, Inc. | Optometrist | Carolina Shopp Ctr # 275, Ave. Fragoso, Carolina, PR 00985-5672 | 2010-12-10 |
| 1902066608 | David Santiago | Optometrist | Carr #3 Km 6 8 Bo San Anton, Walmart Vision Center Parque Escorial, Carolina, PR 00987 | 2008-06-16 |
| 1861612038 | Irma E Lopez - Soto | Optometrist | Ave. Fragoso #14 Villa Fontana, Carolina, PR 00983 | 2007-04-27 |
| 1447377965 | Francisco J Martinez Rios | Optometrist | 7 Ave Laguna, Apt. Phg Condominio Lagomar, Carolina, PR 00979-6501 | 2007-03-22 |
| Find all providers in CAROLINA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.