Basic Information
| Provider Information | |||||||||
| NPI: | 1275595803 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GUIMARAES | ||||||||
| FirstName: | PAULO | ||||||||
| MiddleName: | R. S. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1650 4TH ST SE | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | MN | ||||||||
| PostalCode: | 559044717 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5075296600 | ||||||||
| FaxNumber: | 5075296622 | ||||||||
| Practice Location | |||||||||
| Address1: | 1650 4TH ST SE | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | MN | ||||||||
| PostalCode: | 559044717 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5075296600 | ||||||||
| FaxNumber: | 5075296622 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2006 | ||||||||
| LastUpdateDate: | 02/01/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 35676 | MN | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1008411 | 01 | MN | PREFERRED ONE | OTHER | HP17493 | 01 | MN | HEALTHPARTNERS | OTHER | 5127612 | 01 | MN | AETNA | OTHER | 584610 | 01 | MN | AMERICA'S PPO | OTHER | 01N01GU | 01 | MN | BCBS OF MN | OTHER | 449568300 | 05 | MN | MEDICAID | 140711 | 01 | MN | UCARE MN | OTHER | 0407548 | 01 | MN | MEDICA | OTHER |