Central Medical Wellness & Regeneration

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

CENTRAL MEDICAL WELLNESS & REGENERATION

Practice address

821 Raymond Ave Ste 230
Saint Paul, MN 55114-1503

Phone

(651) 644-6002

Fax

(651) 647-1647

NPI assigned

Nov 5, 2020

Organization subpart

No

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

Authorized official

Name

Alfonso Morales-Utrilla, MD

Title

Owner

Phone

(651) 644-6002

Specialties & licenses 3

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1336740364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7595 CURRELL BLVD UNIT 25404",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252569",
            "telephone_number": "651-644-6002",
            "fax_number": "651-647-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE STE 230",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141503",
            "telephone_number": "651-644-6002",
            "fax_number": "651-647-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MEDICAL WELLNESS & REGENERATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "MORALES-UTRILLA",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-644-6002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "endpointDescription": "n/a",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "821 Raymond Ave Ste 230",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551141503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Central Golden Care Services Inc.
• Central Internal Medicine Associates PA
• Central Medical Clinic LLC
• Central Medical Clinic PLLC
• Central Medical Clinic, PLLC.
• Central Medical Wellness Inc
• Central Towers Limited Partnership
• Ariel Roman Centurion, MD
• Cerenity Senior Care
• Cerenity Senior Care

• Pain Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Pain Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.