Skip to content
NPISignal

Organization

Ecb Humacao

NPI Record: ActiveOptometrist
NPI1104604768
Fajardo, Puerto Rico

Provider's NPPES record last updated: December 17, 2025

Overview

Entity Type
Organization
NPI
1104604768
Primary Specialty
Optometrist
Practice Location
Fajardo, Puerto Rico
Organization Subpart
Yes
Parent Organization
Ecb Humacao

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 1:49 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Optometrist

    Eye and Vision Services Providers

    Primary

    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.

    Taxonomy code 152W00000X

Practice Locations

Practice Location

Plaza Fajardo

Carr 3 Km 43.3 Suite 125

Fajardo, Puerto Rico 00738

Phone: (787) 558-5501

Additional Practice Location

Palma Real

Carr 3 Suite 170

Humacao, Puerto Rico 00791

Phone: (787) 558-5502

Additional Practice Location

Ave Rafael Cordero Esquina Pr Local #10

Caguas, Puerto Rico 00725

Phone: (787) 558-5504

Additional Practice Location

Rio Grande Town Center

Carr 3 Suite A-19

Rio Grande, Puerto Rico 00745

Phone: (787) 558-5503

Other Names

  • Eye Center BoutiqueReported September 14, 2023
  • Eye Center BoutiqueReported November 14, 2023

Record Information

Enumeration Date
September 15, 2023
Provider's NPPES Record Last Updated
December 17, 2025
Certification Date
December 17, 2025
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue