E C Boutique Corp
NPI 1972800530ActiveOrganization· Clinic/Center· Carolina, PR
Clinic/Center in Carolina, Puerto Rico, registered in NPPES in February 2011. The authorized official on file is Pedro David Salib, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1972800530 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 17, 2011 |
| Last updated in NPPES | Oct 28, 2024 |
| Certified by provider | Oct 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
| Optometrist | 152W00000X | 135 | PR |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PR) |
|---|
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