E C Boutique Corp

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

E C BOUTIQUE CORP

Doing business as

EYE CENTER BOUTIQUE

Practice address

1000 The Mall of SJ Boulevard
Suite 118 Urb Villa Olimpia
San Juan, PR 00924-4043

Phone

(787) 507-5377

Fax

(787) 731-5642

NPI assigned

Feb 23, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pedro D Salib Frau

Title

President

Phone

(787) 507-5377

Specialties & licenses 3

Addresses

Other names 1

• EYE CENTER BOUTIQUE Doing business as

Tax ID family

E C Boutique Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• E C Boutique Corp

  • Eyewear Supplier
  • Bayamon, PR
  • NPI 1689973778
  NPD tax ID
• E C Boutique Corp

  • Clinic/Center
  • Carolina, PR
  • NPI 1972800530
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1144086562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CALLE MEDICI",
            "address_2": "URB PASEO DEL PARQUE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009246514",
            "telephone_number": "787-507-5377",
            "fax_number": "787-731-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 THE MALL OF SJ BOULEVARD",
            "address_2": "SUITE 118 URB VILLA OLIMPIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009244043",
            "telephone_number": "787-507-5377",
            "fax_number": "787-731-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E C BOUTIQUE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-03-01",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "SALIB FRAU",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-507-5377"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE CENTER BOUTIQUE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EYE CENTER BOUTIQUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greduvel Duran, M.D.
• Ramon Alberto Duran, D.M.D.
• Gustavo Enrique Durand-Hernandez, APRN
• Amarilis Durieux-Milland, M.D.
• Tanya Dyer, PSY/MA
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• Eyewear Supplier in San Juan, PR
• Providers in San Juan, PR by specialty
• Eyewear Supplier in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.