Jose R Villavicencio in Kettering - Internal Medicine

Jose R Villavicencio - NPI 1265483580

Jose R Villavicencio is a Internal Medicine in Kettering, Ohio. Jose R Villavicencio practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jose R Villavicencio is 1265483580. The last update date is 2008-05-29.

Jose R Villavicencio's current location address is 4750 Hempstead Station Dr, Kettering, Ohio. You can contact this provider via phone number 8008750136 and fax number 9376194304. The mailing address for Jose R Villavicencio is 4750 Hempstead Station Dr, Kettering, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Jose R Villavicencio
Address 4750 Hempstead Station Dr, Kettering, Ohio
Phone Number 8008750136
Fax Number 9376194304
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1265483580
Provider Enumeration Date 2006-05-12
Last Updated Date 2008-05-29

Provider Mailing Address Detail

Address 4750 Hempstead Station Dr
City Kettering
State Ohio (OH)
Post Code 454295164
Phone Number 8008750136
Fax Number 9376194304

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 35069935V
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
326505 BCBS
P00139007 HOCKING MEDICARE RR

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FAQs about Jose R Villavicencio

What is the Jose R Villavicencio's unique identification number?

The Jose R Villavicencio has been assigned the NPI (National Provider Identifier) Number 1265483580 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Jose R Villavicencio is geographically located?

The Jose R Villavicencio is physically situated at the following location: 4750 Hempstead Station Dr, Kettering, OH, 454295164.

What is Jose R Villavicencio's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jose R Villavicencio's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.

On what date did the Jose R Villavicencio receive its 1265483580 assignment from the Centers for Medicare & Medicaid Services?

The Jose R Villavicencio was assigned its 1265483580 by the Centers for Medicare & Medicaid Services on 2006-05-12.

When was the information related to Jose R Villavicencio most recently updated or refreshed?

The details pertaining to the Jose R Villavicencio, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-29.

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