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NPI 1184573958

NPI 1184573958 : EYE ZONE AGUADILLA LLC : AGUADILLA, PR

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General NPI Number Information
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    NPI Number           |    1184573958
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    Entity Type          |    Organization 
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    Legal Business Name  |    EYE ZONE AGUADILLA LLC 
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Dates
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    Enumeration Date     |    01/26/2026
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    Last Update Date     |    01/26/2026
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Provider Practice Location Address
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    Address Line         |    2053 AVE PEDRO ALBIZU CAMPOS STE 3 
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    City                 |    AGUADILLA
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    State                |    PR
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    Zip                  |    00603-5950
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    Country              |    US
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    Telephone            |    787-891-5130
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2053 AVE PEDRO ALBIZU CAMPOS STE 3 
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    City                 |    AGUADILLA
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    State                |    PR
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    Zip                  |    00603-5950
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. KARLA JANIXA VELEZ QUINTANA 
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    Credential           |    OD
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    Telephone            |    787-903-2951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    156FX1800X
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    Taxonomy Name        |    Optician
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    License Number       |    
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    License Number State |    
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