=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003136250
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VILLAFANE INTERPRETATION & TRANSLATION SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/09/2010
-----------------------------------------------------
Last Update Date | 04/25/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2111 PRESIDENT ST
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19115-2402
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-681-0270
-----------------------------------------------------
Fax | 866-676-9947
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2111 PRESIDENT ST
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19115-2402
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-681-0270
-----------------------------------------------------
Fax | 866-676-9947
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER - C.E.O
-----------------------------------------------------
Name | MR. CARLOS S VILLAFANE
-----------------------------------------------------
Credential | 6/1/60
-----------------------------------------------------
Telephone | 215-681-0270
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 347E00000X
-----------------------------------------------------
Taxonomy Name | Transportation Broker
-----------------------------------------------------
License Number | 377197
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251X00000X
-----------------------------------------------------
Taxonomy Name | Supports Brokerage Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------