Organization Active NPI

Aesthetic Ophthalmology LLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Aguadilla, PR
National Provider Identifier
1831087402
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
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

Updated by the provider on Jul 29, 2025

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)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250725002287 PR Part B Supplier - Clinic/Group Practice 8022525096 Receives reassigned benefits from 1 practitioner
Practice locations: Aguadilla, PR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.