MEDICARE: VILLAFANE INTERPRETATION & TRANSLATION SERVICES LLC

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
1	347E00000X	Transportation Broker	377197	PA
2	251X00000X	Supports Brokerage Agency

General Provider Information

NPI Number	:	1003136250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILLAFANE INTERPRETATION & TRANSLATION SERVICES LLC

Provider Business Mailing Address
First Line	:	2111 PRESIDENT ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19115-2402
Country	:	US
Telephone Number	:	215-681-0270
Fax Number	:	866-676-9947

Provider Business Practice Location Address
First Line	:	2111 PRESIDENT ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19115-2402
Country	:	US
Telephone Number	:	215-681-0270
Fax Number	:	866-676-9947

Authorized Official
Title or Position	:	OWNER - C.E.O
Name	:	MR. CARLOS S VILLAFANE
Credential	:	6/1/60
Telephone Number	:	215-681-0270

Provider Enumeration Date	:	06/09/2010
Last Update Date	:	04/25/2012

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