Healthcare Provider Details

I. General information

NPI: 1396664298
Provider Name (Legal Business Name): ARACELIS AGUIAR O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15303 SW 127TH AVE MIAMI
MIAMI FL
33177
US

IV. Provider business mailing address

8802 NW 139TH TER
MIAMI LAKES FL
33018-7374
US

V. Phone/Fax

Practice location:
  • Phone: 305-506-3056
  • Fax:
Mailing address:
  • Phone: 786-879-3711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPC6992
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: