# PROFESSIONAL OPHTHALOMOLOGY GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720720188
- **Authorized official:** SILVINO DIAZ MENDOZA MD (DOCTOR)
- **Authorized official phone:** (787) 250-0812

## Contact information

- **Practice address:** 708 AVE. PONCE D LEON, SUITE 202, SAN JUAN, PR 00919-5013
- **Practice address phone:** (787) 250-0812
- **Practice address fax:** (787) 753-2378
- **Mailing address:** PO BOX 21368, SAN JUAN, PR 00928-1368
- **Mailing address phone:** (787) 250-0812
- **Mailing address fax:** (787) 753-2378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/07/2022
- **Last updated:** 10/15/2025