Active NPI
Aesthetic Ophthalmology LLC
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Aguadilla, PR
National Provider Identifier
1831087402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Legal business name
- AESTHETIC OPHTHALMOLOGY LLC
- Practice address
- 107 Ave Pedro Albizu Campos
Aguadilla, PR 00603-5724 - Phone
- (787) 422-6349
- NPI assigned
- Jun 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lilliam Diaz, MD
- Title
- Presidenta
- Phone
- (787) 422-6349
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | Primary |
Addresses
Primary practice location
107 Ave Pedro Albizu Campos
Aguadilla, PR 00603-5724
Mailing address
PO Box 2033
Aguadilla, PR 00605-2033
Phone (787) 422-6349
Other names 1
- Aesthetic Ophthalmology LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250725002287 | PR | Part B Supplier - Clinic/Group Practice | 8022525096 |
Receives reassigned benefits from 1 practitioner Practice locations: Aguadilla, PR |
National Provider Directory
National Provider DirectoryLocations
107 Ave Pedro Albizu Campo
Aguadilla, PR 00603
Phone (787) 422-6349
107 Ave Pedro Albizu Campos
Aguadilla, PR 00603
Phone (787) 422-6349
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Aguadilla, PR
- NPI 1295984029
Ophthalmic Plastic and Reconstructive Surgery, PR
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753747200000",
"number": "1831087402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2033",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006052033",
"telephone_number": "787-422-6349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 AVE PEDRO ALBIZU CAMPOS",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006035724",
"telephone_number": "787-422-6349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AESTHETIC OPHTHALMOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-24",
"last_updated": "2025-07-29",
"certification_date": "2025-07-22",
"status": "A",
"authorized_official_last_name": "DIAZ",
"authorized_official_first_name": "LILLIAM",
"authorized_official_title_or_position": "PRESIDENTA",
"authorized_official_telephone_number": "787-422-6349",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207WX0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aesthetic Ophthalmology LLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Aesthetic Ophthalmology LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Aguadilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.