ECB HUMACAO
NPI 1104604768
Optometrist in Fajardo, PR
About Ecb Humacao NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ECB HUMACAO (NPI 1104604768), doing business as Eye Center Boutique, is a healthcare organization registered as an optometrist in Fajardo, Puerto Rico and active in the NPI registry since September 2023. The organization maintains 3 additional practice locations and lists Gabriel Santos, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ecb Humacao is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Ecb Humacao, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ecb Humacao's NPI number?
The NPI number for Ecb Humacao is 1104604768. It was assigned to this organization in the NPPES registry on September 15, 2023. The provider is doing business as Eye Center Boutique.
Where is Ecb Humacao located?
Ecb Humacao is located at Plaza Fajardo Carr 3 Km 43.3 Suite 125, Fajardo, PR 00738. The listed phone number is (787) 558-5501.
What is Ecb Humacao's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Ecb Humacao enrolled in Medicare?
Yes. Ecb Humacao is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ecb Humacao?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Optometry, reassign their Medicare billing to Ecb Humacao. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ecb Humacao was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ecb Humacao · NPI 1104604768
Optometrist organization in Fajardo, Puerto Rico. Organization record, active in the CMS NPPES registry since September 15, 2023.
## Identity
- **NPI:** 1104604768 (Entity type: Organization)
- **Enumerated:** September 15, 2023
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Also known as:** Eye Center Boutique (Doing Business As)
- **Organization subpart:** Yes (part of Ecb Humacao)
- **Authorized official:** Gabriel Santos, PRESIDENT
## Practice location
- **Address:** PLAZA FAJARDO, CARR 3 KM 43.3 SUITE 125, Fajardo, PR 00738
- **Phone:** (787) 558-5501
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104604768) · Data from the CMS NPPES public registry.