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 provides Pain Medicine Physician services 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 Not confirmed with CMS for 12 years — call before visiting
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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