DR. ALFONSO MORALES-UTRILLA JR. (NPI# 1407901499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407901499 |
| Entity Type | Individual |
| Full Name | DR. ALFONSO MORALES-UTRILLA JR. |
| Credential | M.D. |
| Practice Address |
393 Dunlap St N Suite Ll 34 Saint Paul MN 55104-4200 |
| Practice Telephone | 6516446002 |
| Practice Fax Number | 6516471647 |
| Mailing Telephone | 6516446002 |
| Mailing Fax Number | 6516471647 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2014-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 37899 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
393 DUNLAP ST N SUITE LL 34 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912909557 | Minnesota Hand Rehabilitation Inc | Occupational Therapist | 393 Dunlap St N, Suite 736, Saint Paul, MN 55104-4200 | 2005-08-12 |
| 1487003760 | Idil Ahmed Mohamed | Home Health | 393 Dunlap St N, Ste 400m, Saint Paul, MN 55104-4200 | 2016-06-08 |
| 1114373511 | Sana Home Health Services | Home Health | 393 Dunlap St N, Suite Ll38, Saint Paul, MN 55104-4200 | 2016-05-04 |
| 1730552670 | Soma Transportation Co | Non-emergency Medical Transport (VAN) | 393 Dunlap St N, Ste 450, Saint Paul, MN 55104-4200 | 2015-10-31 |
| 1740652767 | All Nation Transportation Service LLC | Non-emergency Medical Transport (VAN) | 393 Dunlap St N, # 400k, Saint Paul, MN 55104-4200 | 2015-10-29 |
| 1033581087 | Hopewell Audiology, LLC | Clinic/Center | 393 Dunlap St N, Suite 115, Saint Paul, MN 55104-4200 | 2015-10-28 |
| 1518337294 | Rebecca Ann Younk | Audiologist | 393 Dunlap St N, Suite 115, Saint Paul, MN 55104-4200 | 2015-10-06 |
| 1801272323 | Tamiko Ralston | Counselor | 393 Dunlap St N, 400h, Saint Paul, MN 55104-4200 | 2015-08-06 |
| 1154715340 | Mn Chiropractic & Acupuncture, Pa | Chiropractor | 393 Dunlap St N, Suite 725, Saint Paul, MN 55104-4200 | 2015-03-25 |
| 1053704635 | Central Medical Clinic, Pllc. | Physician Assistant | 393 Dunlap St N, Ll34, Saint Paul, MN 55104-4200 | 2015-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457889420 | Thanh Phung | Family Medicine | 2155 Ford Pkwy Ste A, Saint Paul, MN 55116-2799 | 2017-06-02 |
| 1518338268 | Northstar Professional Services | Family Medicine | 924 Rice St, Saint Paul, MN 55117-4987 | 2015-10-07 |
| 1386064111 | Laura Giegler | Family Medicine | 1983 Sloan Pl Ste 1, Saint Paul, MN 55117 | 2014-04-19 |
| 1306287719 | John Gordon Faughnan | Family Medicine | 1660 Stanford Ave, Saint Paul, MN 55105-2038 | 2013-07-13 |
| 1194041277 | Mark William Eaton | Family Medicine | 333 Smith Ave N # Ms 60202, Saint Paul, MN 55102-2344 | 2010-04-14 |
| 1326277815 | Branden James Pfefferkorn | Family Medicine | 2004 Ford Pkwy # Ms 35300a, Saint Paul, MN 55116-1931 | 2009-07-07 |
| 1780812651 | James Edward Hougas IIi | Family Medicine | Ump Phalen Village Clinic, 1414 Maryland Ave E, Saint Paul, MN 55106 | 2009-06-30 |
| 1871748509 | Deborah Lee Wexler | Family Medicine | 1573 Selby Ave, Suite 234, Saint Paul, MN 55104-6293 | 2008-11-21 |
| 1124206677 | Family Healthservices Minnesota, P.a. | Family Medicine | 2025 Sloan Pl, Suite 35, Saint Paul, MN 55117-2007 | 2008-02-07 |
| 1174703805 | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | Family Medicine | 1385 Phalen Boulevard, Saint Paul, MN 55106 | 2007-11-09 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.