Ecb Humacao
NPI 1104604768 · Optometrist · Fajardo, PR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ecb Humacao is a Optometrist organization in Fajardo, PR (NPI 1104604768).
Provider details
- NPI number
- 1104604768
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Parent organization
- Ecb Humacao
- Organization subpart
- Yes
- Authorized official
- Gabriel Santos, President(787) 558-5501
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Eye Center Boutique
- Doing business as
- Eye Center Boutique
Additional practice locations (3)
- Ave Rafael Cordero Esquina Pr Local #10Caguas, PR 00725Phone: (787) 558-5504
- Palma RealCarr 3 Suite 170Humacao, PR 00791Phone: (787) 558-5502
- Rio Grande Town CenterCarr 3 Suite A-19Rio Grande, PR 00745Phone: (787) 558-5503
Registry dates
- Enumerated
- 2023-09-15
- Last updated
- 2025-12-17
- Certified
- 2025-12-17
Frequently asked questions
- What is Ecb Humacao's NPI number?
- Ecb Humacao's National Provider Identifier (NPI) is 1104604768, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ecb Humacao?
- Ecb Humacao is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Ecb Humacao located?
- Ecb Humacao's practice location on file with NPPES is Plaza Fajardo, Fajardo, PR 00738.
- What is Ecb Humacao's phone number?
- The practice phone number listed in the NPPES registry for Ecb Humacao is (787) 558-5501.
- Does Ecb Humacao accept Medicare?
- Ecb Humacao is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ecb Humacao?
- The authorized official listed on Ecb Humacao's NPPES record is Gabriel Santos, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ecb Humacao's NPI active?
- Yes — Ecb Humacao's NPI (1104604768) is active in the NPPES registry as of the last update on 2025-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.