Central Medical Clinic PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

37899 Issued in MN

Legal business name

CENTRAL MEDICAL CLINIC PLLC

Practice address

393 Dunlap St N
Suite LL34
Saint Paul, MN 55104-4200

Phone

(651) 644-6002

NPI assigned

Oct 22, 2012

Last updated

Nov 1, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alfonso Morales-Utrilla, M.D.NPI 1407901499

Title

Medical Director

Phone

(651) 644-6002

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alfonso Morales-Utrilla Jr., M.D.

  • Family Medicine Physician
  • Saint Paul, MN
  • NPI 1407901499
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1174876643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 DUNLAP ST N",
            "address_2": "SUITE LL34",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044200",
            "telephone_number": "651-644-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 DUNLAP ST N",
            "address_2": "SUITE LL34",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044200",
            "telephone_number": "651-644-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "MORALES-UTRILLA",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "651-644-6002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MN",
            "license": "37899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centerpoint Care Inc
• Centerpointe Behavioral Health Minneapolis LLC (CenterPointe Healthcare)
• Central Golden Care Services Inc.
• Central Internal Medicine Associates PA
• Central Medical Clinic LLC
• Central Medical Clinic, PLLC.
• Central Medical Wellness & Regeneration
• Central Medical Wellness Inc
• Central Towers Limited Partnership
• Ariel Roman Centurion, MD

• Pain Medicine Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Pain Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.