Healthcare Provider Details
I. General information
NPI: 1184573958
Provider Name (Legal Business Name): EYE ZONE AGUADILLA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/26/2026
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2053 AVE PEDRO ALBIZU CAMPOS STE 3
AGUADILLA PR
00603-5950
US
IV. Provider business mailing address
2053 AVE PEDRO ALBIZU CAMPOS STE 3
AGUADILLA PR
00603-5950
US
V. Phone/Fax
- Phone: 787-891-5130
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 156FX1800X |
| Taxonomy | Optician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KARLA
JANIXA
VELEZ QUINTANA
Title or Position: PRESIDENT
Credential: OD
Phone: 787-903-2951