MARLENE BONILLA ALICEA


Address: 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439
Phone: 9522833162

MARLENE BONILLA ALICEA (NPI# 1588856546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588856546
Entity Type Individual
Full Name MARLENE BONILLA ALICEA
Credential DPM
Practice Address 7801 E Bush Lake Rd Ste 400
Minneapolis
MN 55439
Mailing Address 7801 E Bush Lake Rd Ste 400
Minneapolis
MN 55439-3113
Practice Telephone 9522833162
Practice Fax Number 8669917241
Mailing Telephone 9522833162
Mailing Fax Number 8669917241
Enumeration Date 2007-08-14
Last Update Date 2019-04-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist N006419-1 NY Podiatric Medicine & Surgery Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
580 84th St, Apt 2 E, Brooklyn, NY 112094743 7189210156

Office Location

Street Address 7801 E BUSH LAKE RD STE 400
City MINNEAPOLIS
State MN
Zip Code 55439

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215936216 Kristen O Hansberry Family Medicine 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 2005-07-20
1568925634 Maggie Marie Prunty Registered Nurse 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 2019-04-07
1700393436 Barbara Agbo Nurse Practitioner 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 2018-01-03
1992086383 Anne Florence Wairimu Njenga Nurse Practitioner 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 2011-08-30
1417251935 Ltc Professionals Pllc Emergency Medicine 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 2010-12-23
1083870646 Elizabeth Bachorik Nurse Practitioner 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439 2008-08-04
1114183894 Lisa Lee Cummings Podiatrist 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439 2008-08-01
1265699698 Lisa Renee Shields Nurse Practitioner 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439 2008-05-22
1609040054 Erin Phaedra Emerson Egginton Family Medicine 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 2008-04-16
1225058670 Sherief A Mikhail Preventive Medicine 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 2006-07-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538773601 Bryan James Jaquette Specialist/Technologist Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 2020-09-04
1063034411 Joseph E Noble Marriage & Family Therapist 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 2020-05-08
1316421050 Global Kinetics Usa Corporation Physiological Laboratory 5810 West 78th Street, Suite 210, Bloomington, MN 55439 2018-09-19
1003361601 Zainab Ismail Hassan Community Health Worker 5400 W. 70th St # 207, Edina, MN 55439 2016-08-24
1861852287 Global Linguistics Inc Interpreter 5535 Oak Glen Rd, Edina, MN 55439 2016-02-26
1063889616 Lindsey Mackereth Counselor 7117 Ohms Ln, Edina, MN 55439 2015-08-31
1851706105 Holly Beth Gaudreau Specialist/Technologist 8100 W 78th St., Suite 225, Edina, MN 55439 2014-06-25
1841504792 Michelle R Aumock Physician Assistant 8100 W 78th Street, Ste 230, Edina, MN 55439 2010-08-03
1770812174 Heather Lynn Hanson Grudzinski Counselor 7400 Metro Blvd #100-6, Edina, MN 55439 2009-12-14
1548599319 Catasys Health Minnesota, Inc. Case Management 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 2009-12-08
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912556937 Seniorwell Pod of Minnesota, LLC Podiatrist 100 S 5th St Ste 1900, Minneapolis, MN 55402-1267 2019-09-11
1013977644 Todd Arnold Shea Podiatrist 825 Nicollet Mall Ste 300, Minneapolis, MN 55402-2610 2006-03-27
1619972197 Sean Thayer Podiatrist 2220 Riverside Ave, Minneapolis, MN 55454-1321 2005-06-20
1558893180 Michelle Lynn Winder Podiatrist 701 Park Ave, Hennepin County Medical Center, Podiatry Department, Minneapolis, MN 55415-1623 2017-04-02
1063857985 Erin A Roberson Podiatrist 825 Nicollet Mall Ste 300, Minneapolis, MN 55402-2610 2013-05-06
1114183894 Lisa Lee Cummings Podiatrist 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439 2008-08-01
1972784668 Calandra D Theisen Podiatrist 2600 39th Ave Ne, Suite 250, Minneapolis, MN 55421-4379 2007-11-21
1528287414 Michael Alan Reid Podiatrist 2849 Johnson St Ne, Minneapolis, MN 55418-3055 2007-04-25
1053438648 Advanced Foot Care Clinic,ltd Podiatrist 825 Nicollet Mall, Suite 601, Minneapolis, MN 55402-2606 2007-03-26
1922015346 Joseph Paul Schuster Podiatrist 2512 South 7th Street, First Floor, R102, University Orthopeadics, Minneapolis, MN 55454 2006-08-01
Find all providers in MINNEAPOLIS

Competitor

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City MINNEAPOLIS
Zip Code 55439

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Dataset Information

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.

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