MEDICARE: OSIAS M VILLAFLOR, MD, PSC

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	208D00000X	General Practice Physician	21730	KY
2	208600000X	Surgery Physician	21730	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083940076
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OSIAS M VILLAFLOR, MD, PSC

Provider Business Mailing Address
First Line	:	2300 CONCRETE RD
Second Line	:
City	:	CARLISLE
State	:	KY
Zip	:	40311-9721
Country	:	US
Telephone Number	:	859-289-2651
Fax Number	:	859-289-2351

Provider Business Practice Location Address
First Line	:	2300 CONCRETE RD
Second Line	:
City	:	CARLISLE
State	:	KY
Zip	:	40311-9721
Country	:	US
Telephone Number	:	859-289-2651
Fax Number	:	859-289-2351

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. OSIAS M VILLAFLOR
Credential	:	MD
Telephone Number	:	859-289-2651

Provider Enumeration Date	:	10/26/2009
Last Update Date	:	10/26/2009

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