GIANCARLO ALEXANDER PEREZ-ALBELA DIAZ (NPI# 1881003242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881003242 |
Entity Type | Individual |
Full Name | GIANCARLO ALEXANDER PEREZ-ALBELA DIAZ |
Credential | M.D. |
Practice Address |
200 University Ave E Saint Paul MN 55101-2507 |
Practice Telephone | 6512912848 |
Practice Fax Number | 6516026885 |
Mailing Telephone | 6512912848 |
Mailing Fax Number | 6516026885 |
Enumeration Date | 2014-08-10 |
Last Update Date | 2019-03-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
64507 | MN | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
1901 1st Ave, Room 704. Internal Medicine Dept., New York, NY 100297404 | 2124236262 |
Street Address |
200 UNIVERSITY AVE E |
City | SAINT PAUL |
State | MN |
Zip Code | 55101-2507 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336138882 | Tara Vonne Brodersen | Dentist | 200 University Ave E, Saint Paul, MN 55101-2507 | 2005-10-18 |
1184236739 | Anna Rauch | Nurse Practitioner | 200 University Ave E, Saint Paul, MN 55101-2507 | 2020-08-17 |
1891319943 | Gillette Children's Specialty Healthcare | Non-Pharmacy Dispensing Site | 200 University Ave E, Saint Paul, MN 55101-2507 | 2020-06-04 |
1144843343 | Smitha Elizabeth Mathew | Orthopaedic Surgery | 200 University Ave E, Saint Paul, MN 55101-2507 | 2020-05-21 |
1750927554 | Carol Skerbitz | Dietitian, Registered | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-11-27 |
1780220798 | Karri Larson | Dietitian, Registered | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-11-25 |
1316583560 | Julia Lang | Dietitian, Registered | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-11-22 |
1033755285 | Stephanie K Campbell | Dietitian, Registered | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-11-22 |
1629614912 | Ashley Ann Clintsman | Dietitian, Registered | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-11-21 |
1770057135 | Katherine Marie Nelson | Nurse Practitioner | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-01-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
1699284919 | Eric Mcgillis | Emergency Medicine | Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 | 2017-09-29 |
1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
1992182323 | Theresa Annette Cashdollar-powell | Social Worker | 640 Jackson, St Paul, MN 55101 | 2015-05-06 |
1770986101 | Margaret Augusta Cutter | Physician Assistant | 200 Univeristy Ave E, Saint Paul, MN 55101 | 2014-09-30 |
1851641419 | Lisa Rae Caturia | Occupational Therapy Assistant | 640 Jackson St, 8th Floor, St Paul, MN 55101 | 2012-09-11 |
1558619478 | Rph On The Go | Community/Behavioral Health | 172 E 6th Street, 704, Saint Paul, MN 55101 | 2012-08-27 |
1184994212 | Duyen Truong | Pharmacist | 604 Jackson Street, St. Paul, MN 55101 | 2012-01-05 |
Find all providers in zip 55101 |
Taxonomy Code | 2081P0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Spinal Cord Injury Medicine |
A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. ACGME Accredited Residency Program Requirements: 1 year of training with 3-5 years in relevant specialty for a total of 4-6 years. ABMS Approved Subspecialty Certificate: (Physical Medicine and Rehabilitation) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760615579 | Katrina M Thomas | Physical Medicine & Rehabilitation | 1 Veterans Dr, Minneapolis Va Health Care System, Sci Center, Minneapolis, MN 55417-2309 | 2009-08-26 |
1225272024 | Byron Wallis Eddy | Physical Medicine & Rehabilitation | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2009-04-23 |
1619074630 | Gary David Goldish | Physical Medicine & Rehabilitation | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2006-09-20 |
1073531489 | Thomas Clelio Silvestrini | Physical Medicine & Rehabilitation | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-07-17 |
City | SAINT PAUL |
Zip Code | 55101 |
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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.