Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Central Medical Clinic PLLC

Organization Pain Medicine Physician · NPI 1174876643

Central Medical Clinic PLLC is a Pain Medicine Physician in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2012.

Licensed in
MN
In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

393 Dunlap St N Ste LL34
Saint Paul, MN 55104-4200
Phone: (651) 644-6002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence 37899 (MN)

Record details

NPI number1174876643
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alfonso Morales-Utrilla — Medical Director · (651) 644-6002
NPI enumeratedOctober 22, 2012
Last updated in NPPESNovember 1, 2013
Mailing address393 Dunlap St N, Suite Ll34, Saint Paul, MN 55104-4200

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