| Jose Villamil Md Pllc | |
|
5606 15th Ave Brooklyn NY 11219-4708 | |
| (718) 851-1000 | |
| Not Available |
| Full Name | Jose Villamil Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5606 15th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Jose Villamil (MD/PRESIDENT) |
| Authorized Official Contact | 3475853293 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Villamil Md Pllc 61a 74th St Brooklyn NY 11209-1904 Ph: () - | Jose Villamil Md Pllc 5606 15th Ave Brooklyn NY 11219-4708 Ph: (718) 851-1000 |
| NPI Number | 1114778123 |
|---|---|
| Provider Enumeration Date | 03/28/2024 |
| Last Update Date | 03/28/2024 |
| Medicare PECOS PAC ID | 7315387990 |
|---|---|
| Medicare Enrollment ID | O20240430001344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114778123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Jose A Villamil |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619208543 PECOS PAC ID: 8628211216 Enrollment ID: I20141107001059 |
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