Active NPI
Ecb Cayey Corp
- Clinic/Center
- Cayey, PR
National Provider Identifier
1992402598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ECB CAYEY CORP
- Practice address
- 8000 Ave Jesus T Pinero
Suite 15 Plaza Cayey
Cayey, PR 00736-5578 - Phone
- (178) 792-4470
- Fax
- (787) 731-5642
- NPI assigned
- Feb 14, 2023
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Fabian Valles
- Title
- Owner
- Phone
- (787) 360-3006
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Eyewear Supplier
- Bayamon, PR
- NPI 1992862015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230422000398 | PR | Part B Supplier - Clinic/Group Practice | 2860857083 |
Receives reassigned benefits from 1 practitioner Practice locations: Cayey, PR |
National Provider Directory
National Provider DirectorySpecialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Clinic/Center | 261Q00000X | Primary | ||
| Eyewear Supplier | 332H00000X |
Addresses
NPPES NPI RegistryPrimary practice location
8000 Ave Jesus T Pinero
Suite 15 Plaza Cayey
Cayey, PR 00736-5578
Mailing address
2Q6 Calle 17
Mirador de Bairoa
Caguas, PR 00727-1006
Phone (787) 924-4700
Other names 1
NPPES NPI Registry- EYE CENTER BOUTIQUE
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 19, 2024.
{
"created_epoch": "1676332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710806400000",
"number": "1992402598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2Q6 CALLE 17",
"address_2": "MIRADOR DE BAIROA",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007271006",
"telephone_number": "787-924-4700",
"fax_number": "787-731-5642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 AVE JESUS T PINERO",
"address_2": "SUITE 15 PLAZA CAYEY",
"city": "CAYEY",
"state": "PR",
"postal_code": "007365578",
"telephone_number": "178-792-4470",
"fax_number": "787-731-5642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ECB CAYEY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-14",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A",
"authorized_official_last_name": "VALLES",
"authorized_official_first_name": "FABIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-360-3006"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
}
],
"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"
}
]
}
Other providers in Cayey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.