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General NPI Number Information
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NPI Number | 1831087402
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Entity Type | Organization
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Legal Business Name | AESTHETIC OPHTHALMOLOGY LLC
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 107 AVE PEDRO ALBIZU CAMPOS
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City | AGUADILLA
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State | PR
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Zip | 00603-5724
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Country | US
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Telephone | 787-422-6349
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2033
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City | AGUADILLA
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State | PR
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Zip | 00605-2033
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Country | US
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Telephone | 787-422-6349
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Fax |
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Authorized Official
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Title or Position | PRESIDENTA
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Name | DR. LILLIAM DIAZ
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Credential | MD
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Telephone | 787-422-6349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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