Pedro Enrique Palomo Jr, is a
Student In An Organized Health Care Education/training Program based in Minneapolis, Minnesota. Pedro Enrique Palomo Jr is licensed to practice in * (Not Available) (license number ) and his current practice location is
2211 Riverside Ave, Minneapolis, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(612) 330-1000.
NPI number for Pedro Enrique Palomo Jr is 1417840067 and his current mailing address is 7445 Oak Park Village Dr Apt 6, St Louis Park, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417840067.
Provider's Profile
| Full Name | Pedro Enrique Palomo Jr |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2211 Riverside Ave, Minneapolis, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417840067
- Provider Enumeration Date: 06/02/2025
- Last Update Date: 06/02/2025
Medical Identifiers
Medical identifiers for Pedro Enrique Palomo Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417840067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pedro Enrique Palomo Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Pedro Enrique Palomo Jr,
7445 Oak Park Village Dr Apt 6,
St Louis Park, MN 55426-4143
Ph: (224) 254-8757 | Pedro Enrique Palomo Jr,
2211 Riverside Ave,
Minneapolis, MN 55454-1350
Ph: (612) 330-1000 |
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