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NPI Code Detail

MEDICARE: MR. LUIS ARAMBURU DIAZ OD

MEDICARE:  MR. LUIS  ARAMBURU DIAZ  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152WL0500XLow Vision Rehabilitation Optometrist215PR
2152WL0500XLow Vision Rehabilitation OptometristOD215PR

General Provider Information

NPI Number : 1225010721
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LUIS ARAMBURU DIAZ OD
Provider Business Mailing Address
First Line : 59 AVE ESMERALDA
Second Line : LOCAL 2
City : GUAYNABO
State : PR
Zip : 00969-4429
Country : US
Telephone Number : 787-790-3848
Fax Number : 787-765-7035
Provider Business Practice Location Address
First Line : 1122 AVE PONCE DE LEON
Second Line :
City : SAN JUAN
State : PR
Zip : 00925-2908
Country : US
Telephone Number : 787-790-3848
Fax Number : 787-765-7035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2005
Last Update Date : 01/10/2011

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Directions to “ MR. LUIS ARAMBURU DIAZ OD” Practice Location

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