Central Medical Wellness Inc

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

CENTRAL MEDICAL WELLNESS INC

Practice address

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

Phone

(651) 746-4412

Fax

(651) 647-1647

NPI assigned

May 22, 2020

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, MD

Title

Medical Director

Phone

(612) 730-5196

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1376166496",
    "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": "651-746-4412",
            "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": "651-746-4412",
            "fax_number": "651-647-1647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 Raymond Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551141503",
            "country_code": "US",
            "telephone_number": "651-746-4412",
            "fax_number": "651-647-1647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL MEDICAL WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "MORALES-UTRILLA",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "612-730-5196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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 May 22, 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.