NPIMap

Organization Active NPI

Ecb Humacao LLC

  • Optometrist
  • Fajardo, PR
National Provider Identifier
1841847142
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ECB HUMACAO LLC
Practice address
Centro Comercial Plaza Fajardo Local 125 Carr 3 KM 43.3
Barrio Quebrada Abajo
Fajardo, PR 00738
Phone
(787) 718-5767
NPI assigned
Aug 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Dr. Gabriel Santos Delgado, DONPI 1760724777
Title
Optometry
Phone
(787) 239-0468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

Centro Comercial Plaza Fajardo Local 125 Carr 3 KM 43.3
Barrio Quebrada Abajo
Fajardo, PR 00738

Mailing address

Plaza Fajardo Local 125 Carr 3 KM 43.3
Fajardo, PR 00738
Phone (787) 558-5501

Other identifiers 1

IdentifierTypeStateIssuer
038044400MedicaidPR

Other names 1

  • ECB FAJARDO Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ecb Humacao5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1841847142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZA FAJARDO LOCAL 125 CARR 3 KM 43.3",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-558-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO COMERCIAL PLAZA FAJARDO LOCAL 125 CARR 3 KM 43.3",
            "address_2": "BARRIO QUEBRADA ABAJO",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-718-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECB HUMACAO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "SANTOS DELGADO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OPTOMETRY",
        "authorized_official_telephone_number": "787-239-0468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038044400",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECB FAJARDO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ECB FAJARDO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.